Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELSY DIETERICH, CST/CSFA
ActiveKELSY DIETERICH, CST/CSFA is a Medical Laboratory Technician healthcare provider located in WACO, Texas. NPI 1639660533 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · WACO, TX
Registration Details
- NPI Number
- 1639660533
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2018 (8.2619385975967 yrs)
- Last Updated
- May 25, 2018
- License
-
178624 (TX)
Practice Information
- Address
-
5100 FRANKLIN AVE STE CWACO, TX, 767106922Browse TX providers · Browse ZIP 76710
- Phone
- 2547540375
- Fax
- 2547542667
- Primary Specialty
-
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.