Individual provider · Type 1 NPI

Kenneth Lee Watson

Medical Physician Assistant · Philadelphia, PA

NPI number 1699090993 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Call (215) 707-3133 Map

Fax (215) 707-3945

Mailing address

15032 Poquessing Creek Ln
Philadelphia, PA 19116-1531

Other practice locations

  • 15032 Poquessing Creek Ln, Philadelphia, PA 19116-1531 · (267) 446-6521

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XTEI002569 (PA)
Physician Assistant 363A00000X25MP00409400 (NJ)
Medical Physician Assistant Primary 363AM0700XMA060559 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1699090993

Kenneth Lee Watson's National Provider Identifier is 1699090993, issued on Mar 30, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 14, 2022.