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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kelly Weaver, MD

Family Medicine Physician in Canastota, NY · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457506693

Verified

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Registry record

Entity type Individual (Type 1)
Name Kelly Weaver
Credential MD
Sex Female
Practice address Canastota, NY, 13032
Phone (315) 697-2033
Fax (315) 697-9175
Enumeration date Dec 1, 2008
Last updated in NPPES Sep 16, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 250839 (NY) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
03178347 Medicaid NY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelly Weaver practice?
The practice location on file with NPPES is in Canastota, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelly Weaver?
The National Provider Identifier (NPI) for Kelly Weaver is 1457506693, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-16.