Timothy Weide, P.A

NPI 1861600017 · on the registry since 2007

Practice

Address: 1121 N College Park St
Suite # 400
Derby, KS 67037
Phone: (316) 788-3376
Fax: (316) 788-3378
Organisation at this address: Derby Derm
Moments Now Therapy
Camillus Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-02-01

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 Kansas