Individual
JESSE T WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
153 W 151ST ST, #100, OLATHE, KS 66061-5348
(913) 764-1125
(913) 764-1186
Mailing address
153 W 151ST ST, #100, OLATHE, KS 66061-5348
(913) 764-1125
(913) 764-1186
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1501053
KS
Other
Enumeration date
10/23/2006
Last updated
03/18/2008
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