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Contact Information

KRISTIN L DIETIKER, MD
303 N. KEENE ST.
SUITE 404
COLUMBIA, MO65201
 Phone: 573-777-7627
 Fax: 573-777-4596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KRISTIN L DIETIKER · (Female)

NPI # 1649560038
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2011
Last updated 08/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014008188
  • MO Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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