Kenneth R. Watson JR.
General Practice Physician Emergency Medical Services
408 N Main St
Noble
, Oklahoma 73068-9574
Kenneth R. Watson JR.
General Practice Physician Emergency Medical Services
408 N Main St
Noble
, Oklahoma 73068-9574
(405) 872-9758
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About
Features
Specialties
- Emergency Medical Services
- General Practice Physician
Languages spoken
- English
Location
First Address
- Kenneth R. Watson JR.
- 408 N Main St
- Noble, OK
- Zip : 73068-9574
- Fax : (405) 872-9758
- Phone : (405) 872-3885
Second Address
- Kenneth R. Watson JR.
- 408 N Main St
- Noble, OK
- Zip : 73068-9574
- Fax : (405) 872-9758
- Phone : (405) 872-3885
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FAQs
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What type of doctor is Kenneth R. Watson JR.
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Is Kenneth R. Watson JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PE0004X | Emergency Medical Services | 3796 | OK |
| Y | 208D00000X | General Practice Physician | 3796 | OK |
National Provider Identifier
| NPI | 1063408565 |
|---|---|
| Provider Name | Kenneth R. Watson JR. |
| First Address | Noble, OK 73068-9574 |
| Second Address | Noble, OK 73068-9574 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 14/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100137090A | (05) | OK |
| H56746 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.