Individual
KELSEY TIETJEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
4400 PRAIRIE XING APT 7105, PROSPER, TX 75078-3102
(385) 207-5272
Mailing address
4400 PRAIRIE XING APT 7105, PROSPER, TX 75078-3102
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
777831
TX
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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