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Kevin Weatherly, PH.D

NPI 1164785556 · on the registry since 2012 · sole proprietor

Practice

Address
5604 Wesley St Ste 104
Greenville, TX 75402
Phone
(903) 883-7792
Fax
(903) 488-5303
Organisation at this address
Mental Health With Dr Ruth
Gloria Rodarte Brun, M. D., P. A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-06

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 Texas