Wiedeman, Kami Worley

Wiedeman, Kami Worley is an individual health care provider with primary practice located at 2516 Broadmoor Blvd , Monroe LA 71201-2988. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wiedeman, Kami Worley can be contacted via phone (318) 322-7726.

Contact Information

Primary practice address
2516 Broadmoor Blvd Monroe LA 71201-2988
Phone: (318) 322-7726
Fax: (318) 322-2614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP03699 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP03699 Louisiana

Profile Details

NPI number 1710974969
LBN Legal business name Wiedeman, Kami Worley
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Dec 22nd, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710974969 NPPES
Louisiana MEDICAID 1435082

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