Watson, Kimberly Ann

Watson, Kimberly Ann is an individual health care provider with primary practice located at 4444 E 41St St 2Nd Floor, Ste A, Tulsa OK 74135-2527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Watson, Kimberly Ann can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
4444 E 41St St 2Nd Floor, Ste A Tulsa OK 74135-2527
Phone: (918) 619-4400
Fax: (918) 619-4334
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 88742 Oklahoma

Profile Details

NPI number 1356638522
LBN Legal business name Watson, Kimberly Ann
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2011
Last updated Sep 12th, 2013 - 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 1356638522 NPPES
Oklahoma MEDICAID 200386390A

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