KELLY WEAVER DDS
Individual Provider (NPI-1)
Active
Dentist
Provider Information
- NPI Number
1578884235- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 310 W IDAHO ST, BLACKFOOT, ID, 832211710
- Phone
- (208) 785-2255
- Fax
- (208) 785-2275
Specialties & Taxonomies
Dentist
Primary License: ID #D4298