Individual
KYLEE MARIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
408 S MAIN ST, LEWISTOWN, IL 61542-1563
(309) 547-9700
Mailing address
408 S MAIN ST, LEWISTOWN, IL 61542-1563
(309) 547-9700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.000000
IL
Other
Enumeration date
05/27/2025
Last updated
05/13/2026
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