Individual
SARA E WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST # STREET7, LOUISVILLE, KY 40202-1713
(502) 588-3400
(502) 588-3401
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01069662A
IN
208000000X
Pediatrics Physician
43437
KY
2080P0205X
Pediatric Endocrinology Physician
Primary
43437
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200990490
—
IN
05
—
7100132300
—
KY
Enumeration date
03/25/2007
Last updated
04/10/2020
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