Individual
KATHRYN S WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5734 COVENTRY LN, FORT WAYNE, IN 46804-7141
(260) 436-7875
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 408-2203
(260) 408-8014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
160617
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
28145281A
IN
367500000X
Certified Registered Nurse Anesthetist
NA-03760
OH
Other
Enumeration date
10/24/2006
Last updated
01/14/2020
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