Individual
KECIA KRISTINE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11576 S STATE ST STE 101B, DRAPER, UT 84020-7126
(503) 453-2758
Mailing address
11576 S STATE ST STE 101B, DRAPER, UT 84020-7126
(503) 453-2758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11919345-4405
UT
Other
Enumeration date
10/09/2020
Last updated
06/25/2024
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