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MS. KELLY M WEAVER

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1164713186

Individual Registrant:
MS. KELLY M WEAVER 
Gender: F
Sole Proprietor

Location and contact information for practice:
17915 WILDCAT RD  DANVILLE, OH 43014-9560 US
Tel: 740-504-2359  Fax: --

Contact information for business:
17915 WILDCAT RD  DANVILLE, OH 43014-9560 US
Tel: --  Fax: --

Registration Information:
NPI: 1164713186
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
OHPN120946

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS OH - Page 1



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