Individual
KEITH F WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 676-4660
(812) 676-4501
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01088351A
IN
207RN0300X
Nephrology Physician
C0223
KY
207RN0300X
Nephrology Physician
E-11140
AR
207RN0300X
Nephrology Physician
MD0000035914
TN
Other
Enumeration date
06/01/2006
Last updated
11/15/2022
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