Individual
KATHLEEN R. WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP. B-C
Contact information
Practice address
124 A BOARDWALK DRIVE, RECOVERY CONCEPTS LLC, RIDGELAND, SC 29936
(843) 645-2770
(843) 645-2771
Mailing address
3159 PAXON RD, EDEN, NY 14057-9408
(716) 992-9579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22556
SC
363LF0000X
Family Nurse Practitioner
282122
GA
363LF0000X
Family Nurse Practitioner
335932
NY
Other
Enumeration date
06/19/2009
Last updated
04/06/2021
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