Individual
KENAN WEIDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
313 AUTUMN HARVEST LANE, LITITZ, PA 17543
(610) 780-1523
Mailing address
313 AUTUMN HARVEST LANE, LITITZ, PA 17543
(610) 780-1523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP030911
PA
Other
Enumeration date
10/23/2024
Last updated
10/29/2024
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