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NPI Code Detail

MEDICARE: NANCY S WEIGEL M.D.

MEDICARE: NANCY S WEIGEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician32172KY
2207Q00000XFamily Medicine Physician32172KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508834128
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY S WEIGEL M.D.
Provider Business Mailing Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number : 606-784-2344
Provider Business Practice Location Address
First Line : 333 BEACON HILL RD STE 201
Second Line :
City : MOREHEAD
State : KY
Zip : 40351-6182
Country : US
Telephone Number : 606-780-0444
Fax Number : 606-784-2344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/19/2021

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1144789678 — LEVITA J LARSON
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Directions to “ NANCY S WEIGEL M.D.” Practice Location

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