Individual
DR. KENNETH G WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
(573) 449-0808
(573) 442-1331
Mailing address
303 N KEENE ST, SUITE 301, COLUMBIA, MO 65201-7193
(573) 449-0808
(573) 442-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDR4C65
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-9492
UNITED HEALTH CARE
—
01
—
102652
HEALTHLINK
—
05
—
201483914
—
MO
01
—
25787
BLUE CROSS BLUE SHIELD
MO
01
—
4369507
AETNA
—
01
—
54599
GROUP HEALTH PLANS
—
Enumeration date
11/20/2006
Last updated
06/05/2009
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