Individual
DR. GRANT GUY WATKINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
352 OLD GALLATIN RD, SCOTTSVILLE, KY 42164-8666
(270) 237-3304
(270) 237-3305
Mailing address
352 OLD GALLATIN RD, SCOTTSVILLE, KY 42164-8666
(270) 237-3304
(270) 237-3305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00946001
MEDICARE - PTAN
KY
Enumeration date
07/05/2006
Last updated
11/21/2013
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