KELSEA CIERRA CHISOLM
NPI 1336717693
Technician/Technologist in Dearborn, MI

Active since June 14, 2021
19853 OUTER DR, DEARBORN, MI 48124(313) 406-5056(248) 712-4381 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsea Cierra Chisolm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEA CIERRA CHISOLM (NPI 1336717693) is an individual technician/technologist in Dearborn, Michigan and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1336717693
Entity TypeIndividualFemale
Primary Taxonomy156F00000X
Provider Legal NameKELSEA CIERRA CHISOLM
Location Address19853 OUTER DRDearborn, MI 48124-2066
Mailing Address19853 Outer DrDearborn, MI 48124-2066 · (313) 406-5056 · Fax (248) 712-4381
Fax(248) 712-4381
Sole ProprietorNo
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
NPI 1336717693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/TechnologistEye and Vision Services Providers
Taxonomy Code156F00000X
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
19853 OUTER DR, Dearborn, MI 48124

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Behavior Technician
19853 OUTER DR
DEARBORN, MI 48124
Technician/Technologist
19853 OUTER DR
DEARBORN, MI 48124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsea Chisolm's NPI number?

The NPI number for Kelsea Chisolm is 1336717693. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Kelsea Chisolm located?

Kelsea Chisolm practices at 19853 Outer Dr, Dearborn, MI 48124. The listed phone number is (313) 406-5056.

What is Kelsea Chisolm's specialty?

The primary specialty registered for this NPI is Technician/Technologist with taxonomy code 156F00000X.

When was this NPI record last updated?

The NPPES record for Kelsea Chisolm was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.