Individual provider · NPI-1

Kelsi Watson

Technician, Other · Columbus, MS

NPI number1174061246
StatusActive
Last updated in NPPESFeb 8, 2017

Details

NPI
1174061246
Entity type
Individual (NPI-1)
Name
Kelsi Watson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 8, 2017
Last updated
Feb 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, OtherTA3228MSYes

Practice location

310 Emerald Dr
Columbus, MS 39702-5526

Phone 662-244-8823

Mailing address

310 Emerald Dr
Columbus, MS 39702-5526

Phone 662-244-8823

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Other Technician, Other providers in Columbus, MS