Individual
KATIE LYNN WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
(317) 583-7600
Mailing address
8433 HARCOURT RD STE 100, INDIANAPOLIS, IN 46260-2193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000878A
IN
363A00000X
Physician Assistant
PA9106575
FL
363AS0400X
Surgical Physician Assistant
10000878A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005929800
—
FL
05
—
300005490
—
IN
Enumeration date
11/07/2006
Last updated
07/29/2024
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