Katelyn Watson, PA-S
Student in an Organized Health Care Education/Training Program in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1790246783
StatusActive
Last updated in NPPESMar 31, 2019
Details
- NPI
- 1790246783
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Watson
- Credential
- PA-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2019
- Last updated
- Mar 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1873 Scarlotti CtVirginia Beach, VA 23454-6607
Phone 757-651-5343
Mailing address
1873 Scarlotti CtVirginia Beach, VA 23454-6607
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