Individual
KELLEN WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPO, MPO
Contact information
Practice address
401 S SHERMAN ST, SPOKANE, WA 99202-6001
(509) 624-1308
(509) 624-5537
Mailing address
401 S SHERMAN ST, SPOKANE, WA 99202-6001
(509) 624-1308
(509) 624-5537
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORTH.OI.61558656
WA
224P00000X
Prosthetist
Primary
PROS.PS.61558668
WA
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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