Individual provider · Type 1 NPI

Kenneth Anthony Dietrich, MD, MBA

Pediatric Critical Care Medicine Physician · Elma, WA

NPI number 1245288752 Active

Practice location

600 E Main St
Elma, WA 98541-9560

Call (360) 346-2240 Map

Fax (360) 346-2192

Other practice locations

  • 314 Martin Luther King Jr Way, Suite 9, Tacoma, WA 98405-4250 · (253) 403-1511

Specialties and licenses

TaxonomyCodeLicense
Pediatric Critical Care Medicine Physician Primary 2080P0203X27133 (WA)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

49 other providers at this address

About NPI 1245288752

Kenneth Anthony Dietrich, MD, MBA's National Provider Identifier is 1245288752, issued on May 5, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Elma, WA. The record was last updated on Apr 4, 2019.