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Individual

KIMBERLY KING NELSON WEDERQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
417 10TH AVE N, FORT DODGE, IA 50501-2503
(515) 408-7353
Mailing address
417 10TH AVE N, FORT DODGE, IA 50501-2503
(515) 408-7353

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096865
IA
163WC0400X
Case Management Registered Nurse
096865
IA
163WD0400X
Diabetes Educator Registered Nurse
096865
IA
163WH0200X
Home Health Registered Nurse
096865
IA
163WW0000X
Wound Care Registered Nurse
096865
IA

Other

Enumeration date
04/10/2014
Last updated
04/10/2014
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