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Individual

DAVID R. WATKINS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
220 ABRAHAM FLEXNER WAY, SUITE 500, LOUISVILLE, KY 40202-3826
(502) 584-3376
(502) 584-1385
Mailing address
220 ABRAHAM FLEXNER WAY, SUITE 500, LOUISVILLE, KY 40202-3826
(502) 584-3376
(502) 584-1385

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19789
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000048655
ANTHEM
KY
01
1049836
PASSPORT
KY
01
2432689000
PASSPORT ADVANTAGE
KY
05
64197890
KY
Enumeration date
02/14/2006
Last updated
07/09/2007
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