Weaver, Kenneth Ray
Weaver, Kenneth Ray is an sole proprietor health care provider with primary practice located at 715 Shaker Dr Ste 110 , Lexington KY 40504-3674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weaver, Kenneth Ray can be contacted via phone (859) 313-5000.Contact Information
Primary practice address
715 Shaker Dr Ste 110
Lexington KY 40504-3674
Phone: (859) 313-5000
Fax: (859) 313-5002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 23010 | Kentucky |
Profile Details
| NPI number | 1689671430 |
|---|---|
| LBN Legal business name | Weaver, Kenneth Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 3rd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689671430 | NPPES |
| Kentucky | MEDICAID | 64230105 | |
| Kentucky | Other | 611164546 | |
| Kentucky | Other | 000000068949 | |
| Kentucky | Other | 000000073116 |
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