Individual
KEVIN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4320 WORNALL RD STE 710, KANSAS CITY, MO 64111-3246
(816) 932-2700
(816) 932-2705
Mailing address
901 E 104TH ST # MS 400, KANSAS CITY, MO 64131-4517
(816) 932-6433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
083606
IA
363A00000X
Physician Assistant
15-02340
KS
363A00000X
Physician Assistant
Primary
2020008278
MO
Other
Enumeration date
08/31/2016
Last updated
10/24/2024
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