Kylie Jayde Weaver, MD
Occupational Therapist, Gerontology in York, PA. Individual provider (NPI-1).
NPI number1669933537
StatusActive
Last updated in NPPESMar 25, 2019
Details
- NPI
- 1669933537
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kylie Jayde Weaver
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2019
- Last updated
- Mar 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XG0600X | Occupational Therapist, Gerontology | OC015754 | PA | Yes |
Practice location
1801 Folkemer CirYork, PA 17404-1771
Phone 717-650-1140
Mailing address
401 Washington AveEphrata, PA 17522-2150
Phone 610-463-4722
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