| Doctor Name: | MS. KIM WEDDLE |
| NPI Number: | 1467544379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DC, APCP |
| License Number: | 1889 |
| Business Practice Address: | 4700 Jefferson St Ne Ste 100 Albuquerque, NM - 871092136 |
| Business Phone Number: | 5059257464 |
| Business Fax Number: | |
| Mailing Address: | 933 Bradbury Dr Se, Ste 2222 ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871064374 |
| Phone Number: | 5052723002 |
| Fax Number: | |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 111N00000X |
| License Number: | 1889 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Chiropractic Providers |
| Taxonomy Classification: | Chiropractor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |