DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KENNETH LEON WEAVER, PA-C

Active

MR. KENNETH LEON WEAVER, PA-C is a Medical Physician Assistant healthcare provider located in NORTH LITTLE ROCK, Arkansas. NPI 1578527412 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NORTH LITTLE ROCK, AR

Registration Details

NPI Number
1578527412
Provider Type
Individual
Gender
Male
NPI Issued
Apr 17, 2006 (20.293279289942 yrs)
Last Updated
Apr 1, 2025
Licenses
PA214 (AR)
PA214 (AR)

Practice Information

Address
5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR, 721185297
Browse AR providers · Browse ZIP 72118
Phone
5016636455
Fax
5016634877
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in NORTH LITTLE ROCK, AR

Name Credential NPI
MR. JEFF RYAN THOMAS P.A. 1013281609
MR. JOSHUA BEATY JOHNSON PA-C 1780055178
MR. TYLER DYLAN MCANALLY PHYSICIAN ASSISTANT 1083130850
SOMMER SHURAE WALKER PA-C 1275048480
KAY LYNN BRUNT PA 1912511593
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.