Individual
KEVIN W WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6266
(860) 224-6269
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6266
(860) 224-6269
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
041688
CT
207RP1001X
Pulmonary Disease Physician
Primary
041688
CT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
041688
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001416884
—
CT
01
—
041688
CONN ST LIC #
CT
Enumeration date
04/20/2006
Last updated
03/09/2012
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