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Kieran Weaver, PA-C

NPI 1629927330 · on the registry since 2026

Practice

Address
24 Circle Dr
East Northport, NY 11731
Phone
(631) 707-3197

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York