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

Miss. Kelley Lucille Weidinger, ATC, LAT

Individual provider Athletic Trainer · NPI 1093910812

Miss. Kelley Lucille Weidinger, ATC, LAT is an Athletic Trainer in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3308 W Edgewood Dr Ste F
Jefferson City, MO 65109-6891
Phone: (573) 638-3400
Fax: (573) 638-3405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2007017252 (MO)

Record details

NPI number1093910812
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJune 20, 2007
Last updated in NPPESJuly 8, 2007

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