Individual
DR. KATHLEEN M WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
626 E SUMMIT ST, SUITE B, MEXICO, MO 65265-3298
(573) 582-0444
(573) 582-0438
Mailing address
626 E SUMMIT ST, SUITE B, MEXICO, MO 65265-3298
(573) 582-0444
(573) 582-0438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2000161967
MO
Other
Enumeration date
06/19/2007
Last updated
07/12/2007
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