Individual
LARRY KEVIN WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6850 HILLTOP RD, SUITE 190, SHAWNEE, KS 66226-3532
(913) 441-4544
(913) 442-8462
Mailing address
6850 HILLTOP RD, SUITE 190, SHAWNEE, KS 66226-3532
(913) 441-4544
(913) 442-8462
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
KS 04-24213
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100298130 J
—
KS
05
—
100298130 K
—
KS
05
—
100298130I
—
KS
05
—
202509840
—
MO
Enumeration date
10/17/2006
Last updated
05/05/2008
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