Watkins, Shannon

Watkins, Shannon is an individual health care provider with primary practice located at 1065 Ashley St Suite 200, Bowling Green KY 42103-3400. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Watkins, Shannon can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
1065 Ashley St Suite 200 Bowling Green KY 42103-3400
Phone: (270) 781-5111
Fax: (270) 780-0478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME 97022 Florida
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 41396 Kentucky
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 45270 Tennessee

Profile Details

NPI number 1902972441
LBN Legal business name Watkins, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 2nd, 2014 - about 11 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 1902972441 NPPES
Kentucky MEDICAID 7100046110

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