Individual
CHRISTOPHER SHANE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 629-8000
(303) 306-7753
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9529
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
32170
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350754
ANTHEM / CMA DBA
—
01
—
000052152D
HUMANA / CMA DBA
—
01
—
019327
SIHO / CMA DBA
—
01
—
1169467
PASSPORT / CMA DBA
—
05
—
200426460
—
IN
01
—
2440458000
PASSPORT ADVANTAGE / CMA DBA
—
01
—
5145390
CIGNA / CMA DBA
—
05
—
64321706
—
KY
01
—
P00332737
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
11/03/2025
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