Individual
MS. KATHLEEN CELIA WATTS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1650 COCHRANE CIR, FT CARSON, CO 80913-4603
(719) 526-7155
(719) 526-7852
Mailing address
1465 PADDLEBOAT CT, COLORADO SPRINGS, CO 80906-6201
(719) 540-9450
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
86101
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86101
RN LICENSE
CO
Enumeration date
02/23/2006
Last updated
07/08/2007
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