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Individual

KATHRYN KEYES WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
WAKE COUNTY HUMAN SERVICES, 10 SUNNYBROOK ROAD, CLINIC B, RALEIGH, NC 27610
(919) 250-3999
Mailing address
WAKE COUNTY HUMAN SERVICES, 10 SUNNYBROOK ROAD, CLINIC B, RALEIGH, NC 27610
(919) 250-3999

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
232538
NC
363L00000X
Nurse Practitioner
AG06200125
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5013435
NC

Other

Enumeration date
05/26/2020
Last updated
11/20/2020
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