Individual
RICHARD ROBERT WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
74-5000 PUOHULIHULI ST, KAILUA KONA, HI 96740-3318
(808) 313-3787
Mailing address
PO BOX 2764, KAILUA KONA, HI 96745-2764
(808) 960-8763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-186
HI
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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