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Individual

JAMES KEITH WATSON

Active
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Individual

JAMES KEITH WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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