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Individual

KATHRYN KEYES WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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