Watt, Kathy

Watt, Kathy is an individual health care provider with primary practice located at 930 Blue Star Hwy , South Haven MI 49090-7758. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Watt, Kathy can be contacted via phone (269) 637-1115.

Contact Information

Primary practice address
930 Blue Star Hwy South Haven MI 49090-7758
Phone: (269) 637-1115
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4704141333 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301007946 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704141333 Michigan

Profile Details

NPI number 1659312809
LBN Legal business name Watt, Kathy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Sep 15th, 2010 - about 16 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 1659312809 NPPES
Michigan Other 500D111330 BC/BS
Michigan Other 680C946400 BC/BS

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