Individual
KRISTA KAY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1010 N KANSAS ST STE 3049, WICHITA, KS 67214-3124
(316) 500-5764
Mailing address
812 S SADDLE BROOKE CT, HAYSVILLE, KS 67060-5522
(316) 500-5764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79838
KS
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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