Individual provider · Type 1 NPI
Kimberly Sue Weiss, PA
Medical Physician Assistant · Clarksville, MD
NPI number
1376789859
Active
Practice location
6355 Ten Oaks Rd, Suite 202
Clarksville, MD 21029-1185
Fax (410) 531-1412
Mailing address
2 University Plz Ste 204
Hackensack, NJ 07601-6211
Other practice locations
- 39 V St NE, Washington, DC 20002-1329 · (551) 295-8223
- 962 Wayne Ave Ste 250, Silver Spring, MD 20910-4433 · (551) 295-8223
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | C0001240 (MD) |
Medical Physician Assistant: Definition to come...
5 other providers at this address
- Clarksville Crossing Dental, LLCDentist Clarksville, MD NPI 1912304346
- Lea Lazar, M.d., P.c.Family Medicine Physician Clarksville, MD NPI 1306198213
- Lifebridge Community Physicians, IncFamily Medicine Physician Clarksville, MD NPI 1437528551
- Lea Lazar, MDFamily Medicine Physician Clarksville, MD NPI 1578609335
- Varsha Udayan Shah, DDSDentist Clarksville, MD NPI 1558440958
About NPI 1376789859
Kimberly Sue Weiss, PA's National Provider Identifier is 1376789859, issued on Jan 5, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clarksville, MD. The record was last updated on Sep 12, 2025.