Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Wiedower

Individual provider Family Nurse Practitioner · NPI 1629528450

Kelly Wiedower is a Family Nurse Practitioner in Greensboro, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016

Practice location Address checks out

1041 Park Dr
Greensboro, GA 30642-3465
Phone: (706) 453-4945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 213342 (GA)

Record details

NPI number1629528450
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing address1081 Princeton Ln, Watkinsville, GA 30677-5338

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