Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth C Weimer, MD

Individual provider Pediatrics Physician · NPI 1174624761

Kenneth C Weimer, MD is a Pediatrics Physician in Mankato, Minnesota. Works from 2 locations. Licensed in Arizona, Minnesota and Wisconsin.

Licensed in
AZ, MN, WI
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2510 W Dunlap Ave, Phoenix, AZ 85021-2737 — (602) 789-0344

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 56450 (MN)
Pediatrics Physician Taxonomy 208000000X · Licence 52805 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 43671 (WI)
Pediatric Adolescent Medicine Physician Taxonomy 2080A0000X · Licence 56450 (MN)

Record details

NPI number1174624761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020
Mailing address1025 Marsh St, Mankato, MN 56001-4752

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