Individual
MS. KIMBERLY KAY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-191136
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
18040
SC
367500000X
Certified Registered Nurse Anesthetist
209-006258
IL
Other
Enumeration date
07/07/2006
Last updated
07/01/2024
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