MRS. KIMBERLY SUE WIEGAND CFM NPI 1720230873

NPI Information

NPI: 1720230873
Provider Name: MRS. KIMBERLY SUE WIEGAND, CFM
Classification: Orthotic Fitter - 225000000X
Entity Type: Individual
Address:
2700 N CENTER ST
RTE 159
MARYVILLE, IL
ZIP 62062
Phone: (618) 288-7474
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MRS. Kimberly Sue Wiegand, CFM is an orthotic fitter in Maryville, IL. The provider is an individual trained in the management of fitting prefabricated orthoses. MRS. Kimberly Sue Wiegand, CFM NPI is 1720230873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2700 N CENTER ST
RTE 159
MARYVILLE, IL
ZIP 62062-624
Phone: (618) 288-7474
Fax: (618) 288-7037

The enumeration date for this NPI number is 10/21/2008 and was last updated on 10/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183700000X	Pharmacy Technician		049-177617	ILLINOIS	No
2	363AM0700X	Physician Assistant	Medical	95212	ILLINOIS	No
3	225000000X	Orthotic Fitter		CFM01697	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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