# WESTON FAMILY CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WESTON FAMILY CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467519058
- **Authorized official:** JANICE E CHENOWETH (OFFICE MANAGER)
- **Authorized official phone:** (816) 640-2762

## Contact information

- **Practice address:** 18215 STATE ROUTE 45 N, WESTON, MO 64098-9101
- **Practice address phone:** (816) 640-2762
- **Practice address fax:** (816) 640-5564
- **Mailing address:** PO BOX 40, WESTON, MO 64098-0040
- **Mailing address phone:** (816) 640-2762
- **Mailing address fax:** (816) 640-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R1J75 | MO | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 10/12/2020