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Individual

DR. KENNETH RAY WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3609 SOUTH BLVD., SUITE B, CHARLOTTE, NC 28209
(704) 529-1610
(704) 529-1611
Mailing address
3609 SOUTH BLVD., SUITE B, CHARLOTTE, NC 28209
(704) 529-1610
(704) 529-1611

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1669
NC
111N00000X
Chiropractor
19323
CA
111N00000X
Chiropractor
4713
TX
111N00000X
Chiropractor
6666
MI

Other

Enumeration date
12/23/2005
Last updated
07/08/2007
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