Individual
RACHEL GUNN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1720 NICHOLASVILLE RD STE 502, LEXINGTON, KY 40503-1487
(859) 277-7129
Mailing address
1720 NICHOLASVILLE RD STE 502, LEXINGTON, KY 40503-1487
(859) 277-7129
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
TC967
KY
Other
Enumeration date
09/21/2020
Last updated
09/24/2020
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