Individual
MR. GREGORY FRANK WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
Mailing address
137 BEECH ST, PIKEVILLE, KY 41501-1651
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PAR00034
AR
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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