Individual
KATHRYN WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # 4B5A, LOUISVILLE, KY 40202-1713
(502) 588-2348
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
52308
KY
2080P0208X
Pediatric Infectious Diseases Physician
Primary
52308
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100499710
—
KY
Enumeration date
03/22/2016
Last updated
08/01/2023
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