Individual
DR. JOHN MICHAEL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9342 CEDAR CENTER WAY, LOUISVILLE, KY 40291-4522
(502) 239-3228
(502) 231-2517
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64262231
—
KY
Enumeration date
05/03/2006
Last updated
08/30/2024
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