Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH LEE WATSON
ActiveMR. KENNETH LEE WATSON is a Medical Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1699090993 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1699090993
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2010 (16.398259491736 yrs)
- Last Updated
- Mar 14, 2022
- Licenses
-
TEI002569 (PA)25MP00409400 (NJ)MA060559 (PA)
Practice Information
- Address
-
3401 N BROAD STPHILADELPHIA, PA, 191405103Browse PA providers · Browse ZIP 19140
- Phone
- 2157073133
- Fax
- 2157073945
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MR. JOSEPH D. NORRIS | PA-C | 1346247905 |
| ROBERT W ROTHROCK | PA-C | 1508866377 |
| MS. RITA A FOUST | PA-C | 1114906757 |
| MR. GIUSEPPE ANTONIO SCRENCI | MS, PA-C | 1427020643 |
| BRYAN DENNIS BOOTH | PA-C | 1548235179 |
| MR. PAUL HOWELL ROLSTON | M.M.SC., P.A.-C | 1710953203 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.