Individual
KRYSTEN WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 NE 20 AVE, GREAT BEND, KS 67530-9274
(620) 804-1352
Mailing address
460 NE 20 AVE, GREAT BEND, KS 67530-9274
(620) 804-1352
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9379
KS
1041C0700X
Clinical Social Worker
Primary
06958
KS
Other
Enumeration date
08/22/2023
Last updated
07/24/2026
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