Weaver, Kelly

Weaver, Kelly is an individual health care provider with primary practice located at 3800 Reservoir Rd Nw , Washington DC 20007-2113. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Weaver, Kelly can be contacted via phone (202) 444-3700.

Contact Information

Primary practice address
3800 Reservoir Rd Nw Washington DC 20007-2113
Phone: (202) 444-3700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R245041 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP500003542 District of Columbia

Profile Details

NPI number 1437764214
LBN Legal business name Weaver, Kelly
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2020
Last updated Jan 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437764214 NPPES
Maryland Other R245041 MARYLAND BOARD OF NURSING

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