Kelsy Dieterich, CST/CSFA
Surgical Technologist · Waco, TX
Practice location
5100 Franklin Ave Ste CWaco, TX 76710-6922
- Phone
- (254) 754-0375
- Fax
- (254) 754-2667
NPI record
- NPI
- 1639660533
- Entity type
- Individual (Type 1)
- Enumeration date
- May 25, 2018
- Last updated
- May 25, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgical Technologist Primary | 246ZS0410X |
178624 | TX |
About Kelsy Dieterich
Kelsy Dieterich, CST/CSFA is a healthcare provider registered in the NPI registry with the primary taxonomy Surgical Technologist (code 246ZS0410X). The practice location is 5100 Franklin Ave Ste C, Waco, TX 76710-6922. The NPI number 1639660533 was assigned on May 25, 2018 and the record was last updated on May 25, 2018.
Kelsy Dieterich lists a license in the registry: #178624 (TX) for Surgical Technologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kelsy Dieterich, CST/CSFA?
The NPI number is 1639660533.
What is the phone number of Kelsy Dieterich?
The phone number listed for the practice location is (254) 754-0375.
Where is Kelsy Dieterich located?
5100 Franklin Ave Ste C, Waco, TX 76710-6922.
What is the taxonomy code for Kelsy Dieterich?
The primary taxonomy code is 246ZS0410X – Surgical Technologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.