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

Kelsy Dieterich, CST/CSFA

Individual provider Surgical Technologist · NPI 1639660533

Kelsy Dieterich, CST/CSFA is a Surgical Technologist in Waco, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

5100 Franklin Ave Ste C
Waco, TX 76710-6922
Phone: (254) 754-0375
Fax: (254) 754-2667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 178624 (TX)

Record details

NPI number1639660533
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST/CSFA
Sole proprietorNo
NPI enumeratedMay 25, 2018
Last updated in NPPESMay 25, 2018
Mailing address5100 Franklin Ave Ste C, Waco, TX 76710-6922