Individual
KELLY A WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3903 S 7TH ST, SUITE 2D, TERRE HAUTE, IN 47802-5710
(812) 232-3191
(812) 234-7839
Mailing address
2723 S 7TH ST, SUITE A, TERRE HAUTE, IN 47802-3584
(812) 238-1730
(812) 242-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71001710A
IN
Other
Enumeration date
11/04/2005
Last updated
07/08/2007
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