MR. Kenneth Leon Weaver, PA-C
NPI #1578527412 in North Little Rock, Arkansas
Provider Information
- NPI Number
- 1578527412
- Entity Type
- Individual
- Name
- MR. Kenneth Leon Weaver, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Apr 17, 2006
- Last Updated
- Apr 1, 2025
Practice Location
- Address
- 5220 NORTHSHORE DR
- State
- Arkansas
- ZIP Code
- 72118-5297
- Phone
- (501) 663-6455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
| Physician Assistant - Medical — Medical |
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