Individual
KENYON JOSEPH WEIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E HAMPDEN AVE STE 470, ENGLEWOOD, CO 80113-2797
(303) 788-3100
(303) 788-3196
Mailing address
191 E ORCHARD RD STE 300, LITTLETON, CO 80121-8058
(303) 788-3100
(303) 788-3197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49856
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23875313
—
CO
Enumeration date
03/29/2011
Last updated
12/29/2021
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