Individual
LINZI BROOKE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3058 ROCKHOUSE CRK, SALYERSVILLE, KY 41465-7292
(606) 367-3404
Mailing address
5200 COMMERCE CROSSINGS DR, FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4924
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
99108053A
IN
363A00000X
Physician Assistant
Primary
TC108
KY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/23/2021
Last updated
12/06/2021
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