Individual
KELLY WATKINS
Active
Individual
KELLY WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
95012178
CA
207T00000X
Neurological Surgery Physician
95012178
CA
2084N0400X
Neurology Physician
Primary
95012178
CA
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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