Individual
KRISTI WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
210 BLACK GOLD BLVD, SUITE 106, HAZARD, KY 41701-2620
(606) 436-0711
(606) 436-0848
Mailing address
197 ANTLER DR, HAZARD, KY 41701-8223
(606) 233-4575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004377
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013018
—
KY
Enumeration date
07/26/2006
Last updated
11/13/2024
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