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Individual

KELLY MICHELE WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
740 S LIMESTONE STE L304, LEXINGTON, KY 40536-0200
(859) 323-6494
(859) 257-2573
Mailing address
800 ROSE ST, UK GILL HEART INSTITUTE, LEXINGTON, KY 40536-0200
(859) 323-0295
(859) 257-6699

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3004955
KY
363LF0000X
Family Nurse Practitioner
3004955
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000814911
BSBS- BAPTIST HEALTH MADISONVILLE
KY
05
7100129780
KY
Enumeration date
01/17/2008
Last updated
08/26/2025
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