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

MS. Kristen Ann Formosa

Individual provider Other Technician · NPI 1275985772

MS. Kristen Ann Formosa is an Other Technician in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016

Practice location Address checks out

4440 Lapham St
Dearborn, MI 48126-3473
Phone: (313) 969-6210
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X · Licence 6801095545 (MI)

Record details

NPI number1275985772
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESJuly 7, 2016

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