Kelly Rae Weaver, CPNP-PC is a pediatrics nurse practitioner in Shreveport, LA. Kelly Rae Weaver, CPNP-PC NPI is 1881318756. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 SAINT MARY PL
SHREVEPORT, LA
ZIP 71101-307
Phone: (318) 272-3208
The NPI 1881318756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/3/2022 and was last updated on 10/4/2022.