Individual
MS. KESHA WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 748-9953
Mailing address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 733-5969
(803) 748-9953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F4177
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1834
—
SC
Enumeration date
04/26/2010
Last updated
07/19/2012
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