Individual
KELLY ANN WEIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 1211, NEWARK, DE 19713-2089
(302) 623-3052
Mailing address
4735 OGLETOWN STANTON RD STE 1211, NEWARK, DE 19713-2089
(302) 623-3052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
DE
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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