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Individual
KAYCEE LEIGH WEAVER
Active
Individual
KAYCEE LEIGH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204478
LA
207R00000X
Internal Medicine Physician
Primary
T9527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073806675
NPI
LA
Enumeration date
05/16/2011
Last updated
08/28/2023
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