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Individual

KENAN WEIDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
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
06/02/2026
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