Kelly Weaver DDS

  • NPI 1578884235
According to our database, the NPI number for Kelly Weaver DDS is 1578884235 and activated since 13 years ago. Kelly Weaver DDS is an individual provider who specializes in Dentist, and the primary practice location is 310 W Idaho St, Blackfoot, ID 83221. You can also contact Kelly Weaver DDS via telephone number is (208) 785-2255. Provider NPI information was last updated on 08/23/2011.

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Overview of Kelly Weaver DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/17/2010
  • Last updated: 08/23/2011

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D4298
  • License State: ID

Provider Mailing Address

  • Address: Po Box 248
    Blackfoot, ID 83221
  • Phone: 208-785-2255
  • Fax: 208-785-2275

Provider Practice Location

  • Address: 310 W Idaho St
    Blackfoot, ID 83221
  • Phone: 208-785-2255
  • Fax: 208-785-2275

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: D4298
  • License State: ID
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Weaver DDS?
  • A: The npi number for Kelly Weaver DDS is 1578884235.
  • Q: What are Kelly Weaver DDS's specialties?
  • A: Kelly Weaver DDS's specialties are Dentist and different specialities.
  • Q: What is the medical license for Kelly Weaver DDS?
  • A: The medical license number for Kelly Weaver DDS is D4298 and issued in ID in USA.
  • Q: Where is Kelly Weaver DDS practice location?
  • A: Kelly Weaver DDS is practicing at 310 W Idaho St, Blackfoot, ID 83221.
  • Q: How to contact Kelly Weaver DDS?
  • A: You can contact Kelly Weaver DDS via 208-785-2255.