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Individual

MRS. KAYLA RENEE WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP-BC

Contact information

Practice address
900 LODGEVILLE RD, BRIDGEPORT, WV 26330-1488
(304) 842-3311
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN76337NP
WV

Other

Enumeration date
09/04/2013
Last updated
06/15/2016
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