IndividualActive
Kalen Wehagen, NDTR
NPI 1134949530 · Registered Dietetic Technician · Santa Rosa, CA
Provider details
- NPI number
- 1134949530
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- NDTR
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
406 Chinn St
Santa Rosa, CA 95404-4339
Phone: (707) 687-9187
Approximate (ZIP-level) locationGet directions
Mailing address
159 California Ave
Santa Rosa, CA 95405-4665
Registry dates
- Enumerated
- 2024-10-11
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.