Individual
KELLY WENIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(484) 227-9400
Mailing address
16 LINDEN AVE, RUTLEDGE, PA 19070-1709
(484) 432-4801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP031620
PA
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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