Individual
J ROY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6905 WYTHE HILL CIR, PROSPECT, KY 40059-9401
(502) 228-2106
Mailing address
6905 WYTHE HILL CIR, PROSPECT, KY 40059-9401
(502) 228-2106
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15558
KY
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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