Organization
HENDERSONS MINOR OUTPATIENT MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WATKINS M.D. (PARTNER)
(270) 826-8009
Entity
Organization
Contact information
Practice address
1015 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-8009
(270) 826-7010
Mailing address
1015 N ELM ST, HENDERSON, KY 42420-2712
(270) 826-8009
(270) 826-7010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928160
—
KY
Enumeration date
05/10/2006
Last updated
02/03/2010
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