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Kelly Weaver, MD
Family Medicine Physician in Canastota, New York
NPI 1457506693

Kelly Weaver is a Family Medicine Physician based in Canastota, NY. Kelly Weaver practices in Canastota, NY and has the professional credentials of MD. The NPI Number for Kelly Weaver is 1457506693 and holds a License No. 250839 (New York).

The current practice location address for Kelly Weaver is 7137 Mt Pleasant Rd, Canastota, NY and can be reached out via phone at 315-697-2033 and via fax at 315-697-9175.

Location: 7137 Mt Pleasant Rd, Canastota, NY, 13032-5024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457506693
Provider Name
Kelly Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7137 Mt Pleasant Rd, Canastota, NY, 13032-5024
Phone Number
315-697-2033
Fax Number
315-697-9175
Provider Enumeration Date
12/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03178347 05 NY
institution
Provider Business Practice Location Address Details
Address
7137 Mt Pleasant Rd
City
Canastota
State
New York
Zip
13032-5024
Phone Number
315-697-2033
Fax Number
315-697-9175
person
Provider Business Mailing Address Details
Address
7137 Mt Pleasant Rd
City
Canastota
State
New York
Zip
13032-5024
Phone Number
315-697-2033
Fax Number
315-697-9175
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
250839 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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