Kenneth Leroy Watts MD

NPI 1790992261 - Surgery - 208600000X

NPI Details
NPI 1790992261
Gender Male
Enumeration Date 05/16/2007
Last Updated 10/25/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
3020 SAINT JOHNS BLVD
SUITE F
JOPLIN MO, 64804-1564, US
Phone (417) 781-4404
Fax (417) 781-5845
Business Location
2228 E 8TH ST
APT B
JOPLIN MO, 64801-5367, US
Phone (580) 478-7100
Fax
Toxanomy
Taxonomy Code 208600000X
License State Oklahoma
License Number 25530
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According to our database, Kenneth Leroy Watts MD NPI is 1790992261, taxonomy code is 208600000X and license number is 25530, license state is located at Oklahoma. Kenneth Leroy Watts MD physically located at 3020 Saint Johns Blvd, Joplin MO, 64804-1564. NPI Number Kenneth Leroy Watts MD has the Individual type.

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1790992261 NPI number is provided on an as is basis without warranty of any kind. 1790992261 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Leroy Watts MD are for informational purposes only.