person
Mr. Kenneth Leon Weaver, PA-C
Medical Physician Assistant in North Little Rock, Arkansas
NPI 1578527412

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

The current practice location address for Kenneth Leon Weaver is 5220 Northshore Dr, North Little Rock, AR and can be reached out via phone at 501-663-6455 and via fax at 501-663-4877.

Location: 5220 Northshore Dr, North Little Rock, AR, 72118-5297
person
Provider Profile Details
NPI Number
1578527412
Provider Name
Kenneth Leon Weaver
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5220 Northshore Dr, North Little Rock, AR, 72118-5297
Phone Number
501-663-6455
Fax Number
501-663-4877
Provider Enumeration Date
04/17/2006
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
5220 Northshore Dr
City
State
Zip
72118-5297
Phone Number
501-663-6455
Fax Number
501-663-4877
person
Provider Business Mailing Address Details
Address
5220 Northshore Dr
City
State
Zip
72118-5297
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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