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Individual

VALERIE KAY WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1127
(816) 404-1103
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2012018196
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
557083
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
919848903
MO
Enumeration date
06/11/2012
Last updated
05/17/2022
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