Individual
KRISTIN RAE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1018 DUFF AVE, AMES, IA 50010-5740
(515) 663-8621
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4351043818
MI
207Q00000X
Family Medicine Physician
Primary
49579
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301114939
MI
Other
Enumeration date
06/18/2018
Last updated
09/06/2022
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