Weiss, Kenneth S

Weiss, Kenneth S is an individual health care provider with primary practice located at 6286 Briarcrest Ave Ste 200 , Memphis TN 38120-4023. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Weiss, Kenneth S can be contacted via phone (901) 641-3000.

Contact Information

Primary practice address
6286 Briarcrest Ave Ste 200 Memphis TN 38120-4023
Phone: (901) 641-3000
Fax: (901) 701-2400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34880 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 34880 Tennessee

Profile Details

NPI number 1700889730
LBN Legal business name Weiss, Kenneth S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700889730 NPPES
Mississippi MEDICAID 000125415
Mississippi MEDICAID 3371161
Mississippi Other 3881110
Mississippi Other 620819926
Mississippi MEDICAID 7187860
Mississippi Other 4014940
Mississippi Other 620819926
Mississippi Other 620819926
Mississippi Other 620819926
Mississippi MEDICAID 110318002
Mississippi Other 7146128
Mississippi MEDICAID 158715001
Mississippi Other 200041126
Mississippi Other 40106
Mississippi MEDICAID 3863989

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