Individual provider · Type 1 NPI

Kieran Weaver, PA-C

Physician Assistant · East Northport, NY

NPI number 1629927330 Active

Practice location

24 Circle Dr
East Northport, NY 11731-1210

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1629927330

Kieran Weaver, PA-C's National Provider Identifier is 1629927330, issued on Jan 26, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Northport, NY. The record was last updated on Jan 26, 2026.