Provider Demographics
NPI:1578781498
Name:WEAVER ROWE, KRISTI LYN (DO)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYN
Last Name:WEAVER ROWE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15127 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2553
Mailing Address - Country:US
Mailing Address - Phone:913-549-3826
Mailing Address - Fax:
Practice Address - Street 1:8919 PARALLEL, STE 580
Practice Address - Street 2:WOMEN'S CLINIC ASSOCIATES
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112
Practice Address - Country:US
Practice Address - Phone:913-788-9797
Practice Address - Fax:913-788-5263
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-35443207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology