Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristin Lynn Dietiker, MD

Individual provider Pediatrics Physician · NPI 1649560038

Kristin Lynn Dietiker, MD is a Pediatrics Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

303 N Keene St Ste 404
Columbia, MO 65201
Phone: (573) 777-7627
Fax: (573) 777-4596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2014008188 (MO)

Record details

NPI number1649560038
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2011
Last updated in NPPESAugust 6, 2016

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