Individual
KATHY L WEHRLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
11055 TWIN CREEKS CV, FORT WAYNE, IN 46845-2204
(260) 425-6120
(260) 425-6115
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000439A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000675919
ANTHEM -NEOB/GYN
IN
01
—
000000675940
ANTHEM PFC
IN
Enumeration date
08/20/2010
Last updated
05/20/2022
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