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NPI Lookup from the NPI Registry — National Provider Identifier Database

KIMBERLY A WATSON, A.P.N – NPI #1780651505
Family


Contact Information

KIMBERLY A WATSON, A.P.N
1526 E MAIN STREE
MELBOURNE MEDICAL CLINIC
MELBOURNE, AR72556-3736
 Phone: 870-368-4344
 Fax: 870-368-3051
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty
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NPI Profile & details for KIMBERLY A WATSON · (Female)

NPI Number 1780651505
Credentials A.P.N
Entity Individual
Enumeration date 03/01/2006
Last updated 11/15/2012 - About 2 years ago
Sole proprietor 1 No
Identifiers
AR License # A01757
AR Medicaid 152621758
AR Medicare (Unspecified) 5X838
AR Medicare UPIN Q12978
AR Other P00130335 RAILROAD MEDICARE
Hospital affiliation(s)
  • BAXTER REGIONAL MEDICAL CENTER - (Acute Care)
    624 HOSPITAL DRIVE
    MOUNTAIN HOME, AR 72653
  • COMMUNITY MEDICAL CENTER IZARD COUNTY - (Critical Access)
    103 GRASSE STREET
    CALICO ROCK, AR 72519
  • WHITE RIVER MEDICAL CENTER - (Acute Care)
    1710 HARRISON STREET
    BATESVILLE, AR 72503
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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