Individual
JACK THOMAS WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
Mailing address
7400 W 37TH ST N APT 416, WICHITA, KS 67205-3322
(785) 320-0274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
KS
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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