person
Mr. Kenneth L Weaver, PA
Surgical Physician Assistant in Little Rock, Arkansas
NPI 1578527412

Kenneth L Weaver is a Surgical Physician Assistant based in Little Rock, AR and is specialized in Surgical. Kenneth L Weaver practices in Little Rock, AR and has the professional credentials of PA. The NPI Number for Kenneth L Weaver is 1578527412 and holds a License No. PA214 (Arkansas).

The current practice location address for Kenneth L Weaver is 5 St Vincent Cir, Little Rock, AR and can be reached out via phone at 501-663-6455 and via fax at 501-663-4877. You can also correspond with Kenneth L Weaver through the mailing address at 5 ST VINCENT CIR, LITTLE ROCK, AR - 72205 (mailing address contact number: 501-663-6455).

Location: 5 St Vincent Cir, Little Rock, AR, 72205
person
Provider Profile Details
NPI Number
1578527412
Provider Name
Kenneth L Weaver
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5 St Vincent Cir, Little Rock, AR, 72205
Phone Number
501-663-6455
Fax Number
501-663-4877
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5 St Vincent Cir
City
State
Zip
72205
Phone Number
501-663-6455
Fax Number
501-663-4877
person
Provider Business Mailing Address Details
Address
5 St Vincent Cir
City
State
Zip
72205
Phone Number
501-663-6455
Fax Number
501-663-4877
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA214 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA214 (Arkansas)
Definition
Definition to come...
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