Individual
CASEY NICOLE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 HOUSE AVE, SUITE 207, CHEYENNE, WY 82001-3176
(307) 432-0335
(307) 432-0341
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 432-0335
(307) 432-0341
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD041597
DC
207RN0300X
Nephrology Physician
Primary
TL3638
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
09/12/2019
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