Individual
DR. KENNETH GEORGE WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Mailing address
246 E 1260 N, LOGAN, UT 84341-7501
(435) 750-6300
(435) 753-8995
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107671
ANTHEM
VA
01
—
277255000
MAGELLAN
VA
Enumeration date
10/17/2006
Last updated
02/01/2015
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