Individual
JAMES KEITH WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3448 US ROUTE 60, HUNTINGTON, WV 25705-2906
(304) 522-1550
(304) 522-0704
Mailing address
PO BOX 910, HUNTINGTON, WV 25712-0910
(304) 522-1550
(304) 522-0704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2023-03510
NC
2085R0202X
Diagnostic Radiology Physician
Primary
22693
WV
2085R0202X
Diagnostic Radiology Physician
35090137
OH
2085R0202X
Diagnostic Radiology Physician
41084
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221899
UNISON
OH
01
—
001968311
MTN ST BCBS
WV
05
—
2728909
—
OH
05
—
3810008681
—
WV
01
—
50016928
PASSPORT
KY
01
—
550493376 00
WV WORKER'S COMPENSATION
WV
05
—
7100005910
—
KY
01
—
7842870
AETNA
—
01
—
P00413760
RR MEDICARE (WV)
WV
01
—
P00766035
RR MEDICARE (KY)
KY
Enumeration date
03/12/2007
Last updated
05/07/2024
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