Weaver, Kieran
Weaver, Kieran is an individual health care provider with primary practice located at 24 Circle Dr , East Northport NY 11731-1210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weaver, Kieran can be contacted via phone (631) 707-3197.Contact Information
Primary practice address
24 Circle Dr
East Northport NY 11731-1210
Phone: (631) 707-3197
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1629927330 |
|---|---|
| LBN Legal business name | Weaver, Kieran |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2026 |
| Last updated | Jan 26th, 2026 - about 9 months 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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