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Individual

MS. KIM WATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM

Contact information

Practice address
226 LEE STREET, PEASTER, TX 76485
(817) 596-3009
Mailing address
603 TOTO RD, WEATHERFORD, TX 76088-8178
(817) 219-2704
(817) 409-1833

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99086
TX

Other

Enumeration date
09/29/2009
Last updated
09/29/2009
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