Organization
KENNETH L WATTS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH LEROY WATTS MD (OWNER)
(580) 233-9700
Entity
Organization
Contact information
Practice address
330 S 5TH ST, SUITE 401, ENID, OK 73701-5825
(580) 233-9700
(580) 234-9363
Mailing address
330 S 5TH ST, SUITE 401, ENID, OK 73701-5825
(580) 233-9700
(580) 234-9625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/24/2007
Last updated
03/18/2008
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