Watson, Kevin Mark
Watson, Kevin Mark is an individual health care provider with primary practice located at 11130 Parkview Circle Dr , Fort Wayne IN 46845-1735. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Watson, Kevin Mark can be contacted via phone (260) 901-3261.Contact Information
Primary practice address
11130 Parkview Circle Dr
Fort Wayne IN 46845-1735
Phone: (260) 901-3261
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36000424A | Indiana |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1992773972 |
|---|---|
| LBN Legal business name | Watson, Kevin Mark |
| Credentials | ATC/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Mar 14th, 2016 - about 9 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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