Individual
DR. ALYSSA A WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, IBCLC, FAAP
Contact information
Practice address
700 MEDICAL CENTER DRIVE, STE 150, NEWTON, KS 67114-9015
(316) 283-7100
(316) 283-7118
Mailing address
PO BOX 725, NEWTON, KS 67114-0725
(316) 283-3627
(316) 283-3635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-37188
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265728877
TRIWEST/TRICARE
—
05
—
201097820A
—
KS
01
—
4108813
UNITED HEALTHCARE
—
Enumeration date
06/22/2011
Last updated
11/16/2022
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