Individual
KAITLYN WEIGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNMT
Contact information
Practice address
300 S 14TH ST, MOUNT VERNON, WA 98274
(360) 424-4111
Mailing address
4182 FOX CRAFT DR, TRAVERSE CITY, MI 49684-8603
(571) 477-5812
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
046146
MI
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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