Kristin Lynn Dietiker
M.D. | Pediatrics | Female
Kristin Lynn Dietiker, M.D. is a Columbia, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kristin Lynn Dietiker is
303 N. Keene St., Suite 404, Columbia, Missouri - 65201. She can be contacted on phone at
573-777-7627 and fax number 573-777-4596.
Kristin Lynn Dietiker is a sole proprietor of her business.
NPI number (Unique professional ID) for Kristin Lynn Dietiker is
1649560038 which was assigned by NPPES on 19 Apr, 2011 and it was last updated on 06 Aug, 2016.
Kristin Lynn Dietiker license number is
2014008188 for Pediatrics (208000000X) in Missouri.
Kristin Lynn Dietiker is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kristin Lynn Dietiker basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kristin Lynn Dietiker |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Kristin Lynn Dietiker address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 303 N. Keene St., Suite 404
Columbia, MO, 65201
United States |
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| Phone Number : | 573-777-7627 |
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| Fax Number : | 573-777-4596 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649560038 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Apr, 2011 |
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| Last Updated On : | 06 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kristin Lynn Dietiker are as mentioned. Primary taxonomy code for Kristin Lynn Dietiker, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2014008188 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Kristin Lynn Dietiker such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| PENDING | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 505164
Saint Louis, MO, 63150-5164
United States |
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| Phone Number : | 417-820-2000 |
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Business Location:
Patients can refer following map for directions to
Kristin Lynn Dietiker practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.