MS. KELLY EGAN WEAVER PA-C
NPI 1477915098
Physician Assistant - Surgical in Richmond, VA

Active since March 23, 2016
1201 BROAD ROCK BLVD RICHMOND VA 23224, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Kelly Egan Weaver Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KELLY EGAN WEAVER PA-C (NPI 1477915098) is an individual surgical provider in Richmond, Virginia, licensed in Virginia (0110005235) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1477915098
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KELLY EGAN WEAVERCredential: PA-C
Location Address1201 BROAD ROCK BLVD RICHMOND VA 23224Richmond, VA 23249-4915
Mailing Address1201 Broad Rock Blvd Richmond Va 23224Richmond, VA 23249-4915 · (804) 675-5000
Sole ProprietorNo
Enumeration DateMarch 23, 2016
NPI 1477915098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in VA · 0110005235
1201 BROAD ROCK BLVD RICHMOND VA 23224, Richmond, VA 23249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Weaver's NPI number?

The NPI number for Kelly Weaver is 1477915098. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Kelly Weaver located?

Kelly Weaver practices at 1201 Broad Rock Blvd Richmond VA 23224, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Kelly Weaver's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kelly Weaver was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.