Individual
DR. KAYSTIN WEISENBERGER
Active
Individual
DR. KAYSTIN WEISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022024455
MO
207R00000X
Internal Medicine Physician
94-11224
KS
208000000X
Pediatrics Physician
2022024455
MO
208000000X
Pediatrics Physician
94-11224
KS
390200000X
Student in an Organized Health Care Education/Training Program
2022024455
MO
390200000X
Student in an Organized Health Care Education/Training Program
94-11224
KS
Other
Enumeration date
03/30/2022
Last updated
09/03/2022
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