Watson, Kenneth R

Watson, Kenneth R is an individual health care provider with primary practice located at 10330 Hickman Mills Dr , Kansas City MO 64137-1618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Watson, Kenneth R can be contacted via phone (816) 412-7004.

Contact Information

Primary practice address
10330 Hickman Mills Dr Kansas City MO 64137-1618
Phone: (816) 412-7004
Fax: (816) 763-7536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X R8692 Missouri
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 20A9489 California

Profile Details

NPI number 1114905221
LBN Legal business name Watson, Kenneth R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Nov 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114905221 NPPES
Kansas MEDICAID 241950005
Kansas MEDICAID 100229790A

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