Female

Mrs. Kelley S. Wiedmeyer-davis MS PT

Physical Therapist in Cary, NC(View on Map)

Full Name

Mrs. Kelley S Wiedmeyer-davis MS PT

NPI Number

1427075886

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/16/2006

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

7630

Contact
Information

Purpose

Mailing
Location

Address

3701 NW CARY PARKWAY
3701 NW CARY PARKWAY

City

Cary
Cary

State

NC
NC

Postal Code

27513
27513

Country

US
US

Telephone Number

(919) 388-0111
(919) 388-0111

Identifiers

Identifier

6698931
5102400
0784Q
2209325

Identifier State

NC
NC
NC
NC

Identifier Issuer

GHI
AETNA PPO
BCBS
AETNA HMO

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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