Individual
LESLIE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
155 BRICKLAYER STREET, OLIVE HILL, KY 41164
(606) 286-4152
Mailing address
PO BOX 1098, MOREHEAD, KY 40351-5098
(606) 783-1111
(606) 784-1858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006151
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100103900
—
KY
Enumeration date
06/23/2009
Last updated
10/10/2011
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