Provider Demographics
NPI:1154468197
Name:WATSON, KAREN KAY (MSRC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:KAY
Last Name:WATSON
Suffix:
Gender:F
Credentials:MSRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:997 TURKEY RD
Mailing Address - Street 2:P.O. BOX 134
Mailing Address - City:YATES CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66783-6135
Mailing Address - Country:US
Mailing Address - Phone:620-625-2966
Mailing Address - Fax:
Practice Address - Street 1:997 TURKEY RD
Practice Address - Street 2:
Practice Address - City:YATES CENTER
Practice Address - State:KS
Practice Address - Zip Code:66783-6135
Practice Address - Country:US
Practice Address - Phone:620-625-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator