Individual
DR. KIBWE AKIN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M-283, KALAMAZOO, MI 49007-5341
(269) 488-1524
(269) 488-1655
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 488-1524
(269) 488-1655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
001073
GA
208600000X
Surgery Physician
Primary
4301099598
MI
208600000X
Surgery Physician
T1019
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0203907382
BCBS
MI
05
—
1013180876
—
MI
Enumeration date
04/11/2008
Last updated
09/27/2018
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