Watts, Kenneth Leroy

Watts, Kenneth Leroy is an individual health care provider with primary practice located at 3020 Saint Johns Blvd Suite F, Joplin MO 64804-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Watts, Kenneth Leroy can be contacted via phone (417) 781-4404.

Contact Information

Primary practice address
3020 Saint Johns Blvd Suite F Joplin MO 64804-1564
Phone: (417) 781-4404
Fax: (417) 781-5845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25530 Oklahoma
Allopathic & Osteopathic Physicians / Surgery 208600000X 2013032884 Missouri

Profile Details

NPI number 1790992261
LBN Legal business name Watts, Kenneth Leroy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Oct 25th, 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 1790992261 NPPES
Oklahoma MEDICAID 200116470A

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