Individual
RYAN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 VETERANS RD, WARRENSBURG, MO 64093-8294
(660) 543-5064
Mailing address
PO BOX 383, WARSAW, MO 65355-0383
(660) 438-6993
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005037592
MO
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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