Individual
KYLE A. WEEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2008 SW GAGE BLVD, TOPEKA, KS 66604-3340
(785) 354-8383
(785) 354-8386
Mailing address
247 SE MAIN ST, LEES SUMMIT, MO 64063-2331
(816) 434-5858
(816) 434-5845
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1830
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124043021
GROUP NPI NUMBER
KS
01
—
DF9773
GROUP RAILROAD MEDICARE NUMBER
KS
01
—
P00796972
RAILROAD MEDICARE
KS
Enumeration date
06/23/2009
Last updated
11/07/2018
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