Individual
KAITLYN WEIGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4565 KENDALL PKWY, LOVELAND, CO 80538-9268
(970) 410-8228
Mailing address
1650 S TOPAZ WAY, MERIDIAN, ID 83642-4474
(208) 605-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51633868
—
CO
Enumeration date
08/19/2014
Last updated
11/21/2023
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