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1316440381
KELLY BROOK WEAVER
CHARLOTTE, NC
NPI
1316440381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5016815)
Enumeration Date
2018-03-15
Last Update Date
2024-07-15
Business Address
KELLY BROOK WEAVER NP
1021 MOREHEAD MEDICAL DR STE A
CHARLOTTE, NC 28204-2990
Phone number: 980-442-2000
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Mailing Address
KELLY BROOK WEAVER NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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