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Individual

DR. THOMAS W WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
107 ISLAND ST, HARLAN, KY 40831-1904
(606) 573-7447
(606) 573-7930
Mailing address
701 W CITY DAM RD, KEAVY, KY 40737-2607
(606) 231-0960

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1186DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77011864
KY
05
922562
KY
Enumeration date
11/07/2006
Last updated
07/09/2007
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