Kenneth C Weimer
Pediatrician Adolescent Medicine
1025 Marsh St
Mankato
, Minnesota 56001-4752
Kenneth C Weimer
Pediatrician Adolescent Medicine
1025 Marsh St
Mankato
, Minnesota 56001-4752
(507) 625-4031
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About
Features
Specialties
- Pediatrician
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Kenneth C Weimer
- 1025 Marsh St
- Mankato, MN
- Zip : 56001-4752
- Phone : (507) 625-4031
Second Address
- Kenneth C Weimer
- 1025 Marsh St
- Mankato, MN
- Zip : 56001-4752
- Phone : (507) 625-4031
Reviews
FAQs
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Where is Kenneth C Weimer ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 43671 | WI |
| N | 208000000X | Pediatrician | 52805 | AZ |
| Y | 208000000X | Pediatrician | 56450 | MN |
| N | 2080A0000X | Adolescent Medicine | 56450 | MN |
National Provider Identifier
| NPI | 1174624761 |
|---|---|
| Provider Name | Kenneth C Weimer |
| First Address | Mankato, MN 56001-4752 |
| Second Address | Mankato, MN 56001-4752 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 18/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H63066 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.