Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WEIDNER
Active Sole ProprietorKELLY WEIDNER is a Rehabilitation Counselor healthcare provider located in CREST HILL, Illinois. NPI 1194858183 is currently active in the NPPES registry. Verify at CMS.
Rehabilitation Counselor · CREST HILL, IL
Registration Details
- NPI Number
- 1194858183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 13, 2007 (19.464070596413 yrs)
- Last Updated
- Jul 8, 2007
- License
-
KW16880304P (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
20439 GLEN VISTA LNCREST HILL, IL, 604350729Browse IL providers · Browse ZIP 60435
- Phone
- 8158363965
- Fax
- 8158369930
- Primary Specialty
-
Rehabilitation Counselor
225C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.