Watson, Kirk D

Watson, Kirk D is an individual health care provider with primary practice located at 3 Medical Park Dr Suite100, Benton AR 72015-3728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Watson, Kirk D can be contacted via phone (501) 778-0934.

Contact Information

Primary practice address
3 Medical Park Dr Suite100 Benton AR 72015-3728
Phone: (501) 778-0934
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C6481 Arkansas

Profile Details

NPI number 1548398498
LBN Legal business name Watson, Kirk D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Apr 8th, 2008 - about 17 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 1548398498 NPPES
Arkansas MEDICAID 110804001

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