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Contact Information

KENNETH R WEAVER, MD
715 SHAKER DR STE 110
LEXINGTON, KY40504-3674
 Phone: 859-313-5000
 Fax: 859-313-5002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for KENNETH R WEAVER · (Male)

NPI Number 1689671430
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2005
Last updated 08/03/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 23010
  • KY Medicaid 64230105
  • KY Other 000000073116 BLUE CROSS
  • KY Other 000000068949 BLUE CROSS BLUE SHIELD
  • KY Other 611164546 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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