Individual
ELIZABETH WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1135 RED MILE PLACE, LEXINGTON, KY 40504
(859) 288-4053
(859) 288-4084
Mailing address
9785 CLIFTON RD, FRANKFORT, KY 40601
(859) 873-5980
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4343P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013331
—
KY
Enumeration date
02/02/2007
Last updated
07/08/2007
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