Individual
JEFFREY DONOVAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1000
Mailing address
255 S ASHLAND AVE, LEXINGTON, KY 40502-1727
(859) 312-2029
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64109937
—
KY
01
—
P00329507
RRGA
KY
Enumeration date
05/25/2006
Last updated
07/21/2022
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