Individual
DR. KENNETH R WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10330 HICKMAN MILLS DR, KANSAS CITY, MO 64137-1618
(816) 412-7004
(816) 763-7536
Mailing address
14275 MIDWAY RD, SUITE 400, ADDISON, TX 75001-3614
(214) 932-8029
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20A9489
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R8692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229790A
—
KS
05
—
241950005
—
KS
Enumeration date
01/09/2006
Last updated
11/26/2014
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