Individual provider · Type 1 NPI
Kelly M. Watson, FNP
Family Nurse Practitioner · Bolivar, MO
NPI number
1154711265
Active
Practice location
1500 N Oakland Ave
Bolivar, MO 65613-3099
Fax (417) 326-3939
Mailing address
22742 Midland Dr
Shawnee, KS 66226-3553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2016007903 (MO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154711265
Kelly M. Watson, FNP's National Provider Identifier is 1154711265, issued on Jan 27, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bolivar, MO. The record was last updated on Jan 19, 2026.