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Individual

DR. JOHN KENNETH WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1636 NICHOLASVILLE RD STE 7, LEXINGTON, KY 40503-1432
(859) 278-0576
(859) 276-2473
Mailing address
1636 NICHOLASVILLE RD STE 7, LEXINGTON, KY 40503-1432
(859) 278-0576
(859) 276-2473

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9678
KY

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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