Individual
JUSTIN RAY WATTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
361 OLD WAGNER STATION RD, PIKEVILLE, KY 41501-2925
(606) 471-4546
Mailing address
117 SHAWNEE TRL, PIKEVILLE, KY 41501-1547
(606) 568-9309
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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