# DR. KENNETH R WATSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114905221
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 20A9489 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | R8692 | MO | Yes |

## Other

- **Enumeration date:** 01/09/2006
- **Last updated:** 11/26/2014