Individual
CHRISTINE KIRKENDOL WATSON
Active
Individual
CHRISTINE KIRKENDOL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01055140A
IN
207R00000X
Internal Medicine Physician
Primary
01055140A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000752103
ANTHEM
IN
05
—
200414940F
—
IN
Enumeration date
05/11/2006
Last updated
04/03/2020
Update your record
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