Individual
CHRISTINA WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8726 US HIGHWAY 42, FLORENCE, KY 41042-9625
(859) 384-2660
(859) 384-5248
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 384-2660
(859) 384-5248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1971
KY
363A00000X
Physician Assistant
TC345
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121218
—
OH
05
—
7100339560
—
KY
Enumeration date
09/24/2014
Last updated
09/11/2018
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