Doctor Name: | KATHLEEN WEAVER |
NPI Number: | 1801039698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT005495L |
Business Practice Address: | 400 Saint Luke Dr Lititz, PA - 175432208 |
Business Phone Number: | 7176266884 |
Business Fax Number: | 7176250937 |
Mailing Address: | 101 E State St, KENNETT SQUARE |
State: | PA |
Postal Code: | 193483109 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/09/2009 |
NPI Last Update Date: | 04/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT005495L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |