Weaver, Kendra Renee

Weaver, Kendra Renee is an individual health care provider with primary practice located at James H. Quillen/Vamc Corner Of Sidney And Lamont (Johnson City), Mountain Home TN 37684. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Weaver, Kendra Renee can be contacted via phone (423) 926-1171.

Contact Information

Primary practice address
James H. Quillen/Vamc Corner Of Sidney And Lamont (Johnson City) Mountain Home TN 37684
Phone: (423) 926-1171
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X P0000002474 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P0000002474 Tennessee

Profile Details

NPI number 1154355717
LBN Legal business name Weaver, Kendra Renee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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