Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY WEAVER, MD
Active Sole ProprietorKELLY WEAVER, MD is a Family Medicine healthcare provider located in CANASTOTA, New York. NPI 1457506693 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CANASTOTA, NY
Registration Details
- NPI Number
- 1457506693
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2008 (17.704580515777 yrs)
- Last Updated
- Sep 16, 2021
- License
-
250839 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7137 MT PLEASANT RDCANASTOTA, NY, 130325024Browse NY providers · Browse ZIP 13032
- Phone
- 3156972033
- Fax
- 3156979175
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in CANASTOTA, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN W NEBZYDOSKI | — | 1891757076 |
| DR. HARRY E CAPONE | MD | 1073575189 |
| DR. JEFFREY M MULHOLLAND | MD | 1326000431 |
| RANDOLPH SNOW | DO | 1770743932 |
| THOMAS CUMMINGS | MD | 1225283468 |
| MICHAEL SIEGENTHALER | MD | 1639550460 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.