Individual
KELLY M WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3099
(417) 328-4201
(417) 326-3939
Mailing address
22742 MIDLAND DR, SHAWNEE, KS 66226-3553
(913) 441-2293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016007903
MO
363LF0000X
Family Nurse Practitioner
Primary
76681
KS
Other
Enumeration date
01/27/2015
Last updated
01/19/2026
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