SearchOhio164W00000X

Kelly Weaver

NPI 1164713186 · on the registry since 2011 · sole proprietor

Practice

Address
17915 Wildcat Rd
Danville, OH 43014
Phone
(740) 504-2359

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio