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Kenneth Weaver, MD
Gynecology Physician in Jonesborough, Tennessee
NPI 1942262167

Kenneth Weaver is a Gynecology Physician based in Jonesborough, TN and is specialized in Gynecology. Kenneth Weaver practices in Jonesborough, TN and has the professional credentials of MD. The NPI Number for Kenneth Weaver is 1942262167 and holds a License No. MD11216 (Tennessee).

The current practice location address for Kenneth Weaver is 1103 E Jackson Blvd, Jonesborough, TN and can be reached out via phone at 423-753-4177 and via fax at 423-753-8030.

Location: 1103 E Jackson Blvd, Jonesborough, TN, 37659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942262167
Provider Name
Kenneth Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1103 E Jackson Blvd, Jonesborough, TN, 37659
Phone Number
423-753-4177
Fax Number
423-753-8030
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3166800 05 TN
institution
Provider Business Practice Location Address Details
Address
1103 E Jackson Blvd
City
Jonesborough
State
Tennessee
Zip
37659
Phone Number
423-753-4177
Fax Number
423-753-8030
person
Provider Business Mailing Address Details
Address
1103 E Jackson Blvd
City
Jonesborough
State
Tennessee
Zip
37659
Phone Number
423-753-4177
Fax Number
423-753-8030
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
MD11216 (Tennessee)
Definition
Definition to come...
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