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Individual
KEITH WATTS
Active
Individual
KEITH WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
1-134846
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-134846
AL
Other
Enumeration date
08/16/2016
Last updated
10/08/2019
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