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DR WATSON CONCIERGE MEDICINE PLLC NPI 1396497137


NPI Information

NPI: 1396497137
Provider Name: DR WATSON CONCIERGE MEDICINE, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 18D2251622

Address:
584 WESTPORT RD
ELIZABETHTOWN, KY
ZIP 42701
Phone: (859) 351-7660
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DR WATSON CONCIERGE MEDICINE, PLLC is a family medicine in Elizabethtown, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR WATSON CONCIERGE MEDICINE, PLLC NPI is 1396497137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

584 WESTPORT RD
ELIZABETHTOWN, KY
ZIP 42701-987
Phone: (859) 351-7660

The provider's authorized official is Andrea T Watson .
The authorized official title is Owner and has the following contact phone number (859) 351-7660.

The CLIA number assigned to this NPI record is 18D2251622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2022 and was last updated on 1/24/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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