# KARA M WIDERGREN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1669349478
- **Gender:** X

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | E-10261346 | OR | — |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2025
- **Last updated:** 05/10/2026