Weidinger, Kelley Lucille

Weidinger, Kelley Lucille is an individual health care provider with primary practice located at 3308 W Edgewood Dr Ste F , Jefferson City MO 65109-6891. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Weidinger, Kelley Lucille can be contacted via phone (573) 638-3400.

Contact Information

Primary practice address
3308 W Edgewood Dr Ste F Jefferson City MO 65109-6891
Phone: (573) 638-3400
Fax: (573) 638-3405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2007017252 Missouri

Profile Details

NPI number 1093910812
LBN Legal business name Weidinger, Kelley Lucille
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Jul 8th, 2007 - about 17 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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