Individual
MS. LEIGH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCM
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8381
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RN584346
PA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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