Individual
DR. KATHLEEN V WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERISITY OF MINNESOTA PHYSICIANS, 516 DELAWARE STREET SE, CLINIC 3A, MINNEAPOLIS, MN 55455
(612) 884-0999
Mailing address
UNIVERISITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 741, MINNEAPOLIS, MN 55455
(612) 884-0999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25764
MN
207RH0000X
Hematology (Internal Medicine) Physician
25764
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402803
MEDICA - PRIMARY
—
01
—
0402804
MEDICA - CHOICE
—
05
—
0500611
—
IA
01
—
1000062
PREFERREDONE
—
01
—
101529
UCARE
—
01
—
2T190WA
BLUE CROSS BLUE SHIELD
—
05
—
737872600
—
MN
01
—
768402
ARAZ
—
01
—
HP22152
HEALTHPARTNERS
—
Enumeration date
11/08/2006
Last updated
10/29/2012
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