Kenneth L Weaver in Little Rock - Surgical

Kenneth L Weaver - NPI 1578527412

Kenneth L Weaver is a Surgical in Little Rock, Arkansas. Kenneth L Weaver practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kenneth L Weaver is 1578527412. The last update date is 2009-09-24.

Kenneth L Weaver's current location address is 5 St Vincent Cir, Little Rock, Arkansas. You can contact this provider via phone number 5016636455 and fax number 5016634877. The mailing address for Kenneth L Weaver is 5 St Vincent Cir, Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth L Weaver
Address 5 St Vincent Cir, Little Rock, Arkansas
Phone Number 5016636455
Fax Number 5016634877
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1578527412
Provider Enumeration Date 2006-04-17
Last Updated Date 2009-09-24

Provider Mailing Address Detail

Address 5 St Vincent Cir
City Little Rock
State Arkansas (AR)
Post Code 72205
Phone Number 5016636455
Fax Number 5016634877

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA214
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Kenneth L Weaver

What is the unique 10-digit identification code issued to Kenneth L Weaver by the Centers for Medicare & Medicaid Services?

The Kenneth L Weaver has been assigned the NPI (National Provider Identifier) 1578527412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Kenneth L Weaver's facilities are situated?

The facilities of Kenneth L Weaver are physically located at the following address: 5 St Vincent Cir, Little Rock, AR, 72205.

What is the area of specialization for Kenneth L Weaver, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kenneth L Weaver is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did the Kenneth L Weaver receive its 1578527412 assignment from the Centers for Medicare & Medicaid Services?

The Kenneth L Weaver was assigned its 1578527412 by the Centers for Medicare & Medicaid Services on 2006-04-17.

As of what date was the information pertaining to Kenneth L Weaver, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth L Weaver, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-09-24.

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