Dieterich, Kelsy

Dieterich, Kelsy is an individual health care provider with primary practice located at 5100 Franklin Ave Ste C , Waco TX 76710-6922. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Dieterich, Kelsy can be contacted via phone (254) 754-0375.

Contact Information

Primary practice address
5100 Franklin Ave Ste C Waco TX 76710-6922
Phone: (254) 754-0375
Fax: (254) 754-2667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 178624 Texas

Profile Details

NPI number 1639660533
LBN Legal business name Dieterich, Kelsy
Credentials CST/CSFA
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2018
Last updated May 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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