Individual
KOLBY BRYAN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N UNIVERSITY DR, EDMOND, OK 73034-5207
(405) 974-2000
Mailing address
700 NE 122ND ST APT 2812, OKLAHOMA CITY, OK 73114-8158
(432) 466-1806
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OK
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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