Individual
CARL L WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E PARRISH AVE, BLDG D, OWENSBORO, KY 42303-1449
(270) 926-8171
(270) 852-7954
Mailing address
PO BOX 595, HOPKINSVILLE, KY 42241-0595
(270) 885-3414
(270) 885-7631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569164
BCBS (COOPERATIVE HEALTH SERVICES INC.)
KY
05
—
6412337500
—
KY
Enumeration date
07/18/2006
Last updated
08/15/2012
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