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Contact Information

KENDRA J WEICHBRODT, NP-C, AGACNP-BC
2 JAMES WAY
PISMO BEACH, CA93449
 Phone: 805-295-6594
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KENDRA J WEICHBRODT · (Female)

NPI # 1316323447
Status Active
Credentials NP-C, AGACNP-BC
Entity Individual
Enumeration date 07/30/2015
Last updated 06/13/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # 95008969
  • OK License # 96526
  • OK Other NA DO NOT HAVE AN IDENTIFICATION NUMBER YET
Hospital affiliation(s)
  • MARIAN REGIONAL MEDICAL CENTER - (Acute Care)
    1400 E CHURCH ST
    SANTA MARIA, CA 93454
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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