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Individual
KIMBERLY KING NELSON WEDERQUIST
Active
Individual
KIMBERLY KING NELSON WEDERQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096865
IA
163WC0400X
Case Management Registered Nurse
096865
IA
163WD0400X
Diabetes Educator Registered Nurse
096865
IA
163WH0200X
Home Health Registered Nurse
096865
IA
163WW0000X
Wound Care Registered Nurse
096865
IA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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