Individual
ELIZABETH WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 SAINT MATHILDA DR, LEXINGTON, KY 40502-1127
(859) 288-2425
Mailing address
PO BOX 39597, BELFAST, ME 04915-1249
(859) 288-2425
(859) 288-7510
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1056
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100049280
—
KY
Enumeration date
09/07/2007
Last updated
07/16/2025
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