Weaver, Kelly Rae

Weaver, Kelly Rae is an individual health care provider with primary practice located at 1 Saint Mary Pl , Shreveport LA 71101-4307. 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 Rae can be contacted via phone (318) 272-3208.

Contact Information

Primary practice address
1 Saint Mary Pl Shreveport LA 71101-4307
Phone: (318) 272-3208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 226455 Louisiana

Profile Details

NPI number 1881318756
LBN Legal business name Weaver, Kelly Rae
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2022
Last updated Oct 4th, 2022 - about 4 years ago

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.

Request for update

Popular Providers