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

Kenneth Weiss, MD

Individual provider Otolaryngology Physician · NPI 1538209515

Kenneth Weiss, MD is an Otolaryngology Physician in Port St Lucie, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2007.

Licensed in
FL, IL
In the registry since
2007
Specialties on file
2
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

10377 S US Highway 1 Ste 101
Port St Lucie, FL 34952-5630
Phone: (772) 337-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence ME103347 (FL)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036053048 (IL)

Record details

NPI number1538209515
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESNovember 21, 2012
Mailing address10377 S Us Highway 1, Ste 101, Port St Lucie, FL 34952-5630

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