Individual
KANESHA WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6000
Mailing address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1175666
KY
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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