Individual
KEVIN JAMES WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
207 3RD AVE E, TWIN FALLS, ID 83301-6252
(661) 333-3194
(606) 755-3289
Mailing address
207 3RD AVE E, TWIN FALLS, ID 83301-6252
(661) 333-3194
(606) 755-3289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77227
ID
363LF0000X
Family Nurse Practitioner
95015235
CA
Other
Enumeration date
01/25/2021
Last updated
06/16/2026
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