# DR WATSON CONCIERGE MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396497137
- **Authorized official:** ANDREA T WATSON (OWNER)
- **Authorized official phone:** (859) 351-7660

## Contact information

- **Practice address:** 584 WESTPORT RD, ELIZABETHTOWN, KY 42701-2987
- **Practice address phone:** (859) 351-7660
- **Mailing address:** 584 WESTPORT RD, ELIZABETHTOWN, KY 42701-2987
- **Mailing address phone:** (859) 351-7660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 01/24/2022