Individual
DR. MIQUEL WATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 E OAK ST, LOUISVILLE, KY 40203-2704
(502) 636-0400
(502) 637-1812
Mailing address
120 E OAK ST, LOUISVILLE, KY 40203-2704
(502) 636-0400
(502) 637-1812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4186
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50002113
PASSPORT
KY
05
—
85002848
—
KY
Enumeration date
09/22/2006
Last updated
07/08/2007
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