Individual
MRS. KIMBERLY M. WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1312 NORTH HARVILLE RD, DUNCAN, OK 73533
(580) 470-9800
(580) 470-9802
Mailing address
1312 NORTH HARVILLE RD, DUNCAN, OK 73533
(580) 470-9800
(580) 470-9802
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
24587
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200250690A
—
OK
Enumeration date
01/29/2007
Last updated
11/16/2016
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