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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIRSTIE WICHTENDAHL, LPT

Active

KIRSTIE WICHTENDAHL, LPT is a Licensed Genetic Counselor healthcare provider located in SAN ANDREAS, California. NPI 1861166910 is currently active in the NPPES registry. Verify at CMS.

Licensed Genetic Counselor · SAN ANDREAS, CA

Registration Details

NPI Number
1861166910
Provider Type
Individual
Gender
Female
NPI Issued
Aug 3, 2021 (5.0320443984454 yrs)
Last Updated
Aug 3, 2021
License
40011 (CA)

Practice Information

Address
3585 HAWVER RD.
SAN ANDREAS, CA, 952499524
Browse CA providers · Browse ZIP 95249
Phone
2097541249
Primary Specialty
Licensed Genetic Counselor
167G00000X
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.