Kelly Maurine Wiechman

NPI #1912630278 in Lawrence, Kansas

Provider Information

NPI Number: 1912630278
Entity Type: Individual
Name: Kelly Maurine Wiechman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Jul 5, 2022
Last Updated: Jul 5, 2022

Practice Location

Address: 3320 PETERSON RD STE 104
City: Lawrence
State: Kansas
ZIP Code: 66049-1739
Phone: (785) 371-1414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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