Individual
KELLY L. WEAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
32 GROVE ST APT 9, BOSTON, MA 02114-3508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2311865
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
2023015586
MO
367500000X
Certified Registered Nurse Anesthetist
RN2311865
MA
Other
Enumeration date
06/27/2017
Last updated
06/14/2023
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