Individual
MR. KENNETH ARNOLD WEEDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.D.P. , C.C.D.P.D
Contact information
Practice address
610 WAMPANOAG TRL, EAST PROVIDENCE, RI 02915-1504
(401) 431-9870
(401) 438-1957
Mailing address
610 WAMPANOAG TRL, RIVERSIDE, RI 02915-1504
(401) 431-9870
(401) 438-1957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00467
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101YA0400X
RI DEPT. OF HEALTH
RI
05
—
KW31753
—
RI
Enumeration date
05/04/2006
Last updated
01/13/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us