Search › Louisiana › 101YM0800X
Kevin Weaver
NPI 1376073189 · on the registry since 2017 · sole proprietor
Practice
- Address
- 775 South Bonner Street
Ruston, LA 71270 - Phone
- (318) 254-7050
- Fax
- (318) 254-7053
- Organisation at this address
- Marie'S Medical Supply, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2022-07-21
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 Louisiana