Individual
KALEB CHARLES WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1708 FOY ST, MANDEVILLE, LA 70448-2205
(985) 373-2554
Mailing address
1708 FOY ST, MANDEVILLE, LA 70448-2205
(985) 373-2554
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
211599
LA
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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