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MS. KELLY M WEAVER
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1164713186
Individual Registrant:MS. KELLY M WEAVER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
17915 WILDCAT RD DANVILLE, OH 43014-9560 US
Tel: 740-504-2359 Fax: --
Tel: 740-504-2359 Fax: --
Contact information for business:
17915 WILDCAT RD DANVILLE, OH 43014-9560 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1164713186
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | OH | PN120946 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
