Kenneth Weaver, MD is a
Obstetrics & Gynecology - Gynecology physician based in Jonesborough, Tennessee. Kenneth Weaver is licensed to practice in Tennessee (license number MD11216) and his current practice location is 1103 E Jackson Blvd, Ste 1, Jonesborough, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 753-4177.
NPI number for Kenneth Weaver is 1942262167 and his current mailing address is Po Box 67, Jonesborough, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942262167.
Physician's Profile
| Full Name | Kenneth Weaver |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Gynecology |
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| Location | 1103 E Jackson Blvd, Jonesborough, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942262167
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Kenneth Weaver such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942262167 | NPI | - | NPPES |
| 3166800 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | MD11216 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Weaver is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth Weaver, MD
Po Box 67,
Jonesborough, TN 37659
Ph: (423) 753-4177 | Kenneth Weaver, MD
1103 E Jackson Blvd, Ste 1,
Jonesborough, TN 37659
Ph: (423) 753-4177 |
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