Individual provider · Type 1 NPI

Kalen Wehagen, NDTR

Registered Dietetic Technician · Santa Rosa, CA

NPI number 1134949530 Active

Practice location

406 Chinn St
Santa Rosa, CA 95404-4339

Mailing address

159 California Ave
Santa Rosa, CA 95405-4665

Specialties and licenses

TaxonomyCodeLicense
Registered Dietetic Technician Primary 136A00000XNone listed

Registered Dietetic Technician: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associate's degree or higher and successfully complete a sliding set of academic, examination, and practice requirements accredited by the Accreditation Council for Education i…

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About NPI 1134949530

Kalen Wehagen, NDTR's National Provider Identifier is 1134949530, issued on Oct 11, 2024. The primary taxonomy on file is Registered Dietetic Technician (136A00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 11, 2024.