Individual
DR. SHANNON WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1065 ASHLEY ST, SUITE 200, BOWLING GREEN, KY 42103-3400
(270) 781-5111
(270) 780-0478
Mailing address
1065 ASHLEY ST, SUITE 200, BOWLING GREEN, KY 42103-3400
(270) 781-5111
(270) 780-0478
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
41396
KY
207N00000X
Dermatology Physician
45270
TN
207N00000X
Dermatology Physician
ME 97022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100046110
—
KY
Enumeration date
11/27/2006
Last updated
07/02/2014
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