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Kelly Anne Weisenborn, RN

Registered Nurse in Charleston, WV. Individual provider (NPI-1).

NPI number1154188597
StatusActive
Last updated in NPPESMar 4, 2024

Details

NPI
1154188597
Entity type
Individual (NPI-1)
Name
Kelly Anne Weisenborn
Credential
RN
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2024
Certification date
Mar 2, 2024
Last updated
Mar 4, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse83736WVYes

Practice location

900 Virginia St E Ste 400
Charleston, WV 25301-2835

Phone 681-313-4759 · Fax 844-800-3954

Mailing address

121 Hopewell Rd
Fairmont, WV 26554-5496

Phone 304-677-5262

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