Provider Demographics
NPI:1194389932
Name:WATKINS, CHRISTOPHER K
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:K
Last Name:WATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46-063 EMEPELA PL APT R202
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3932
Mailing Address - Country:US
Mailing Address - Phone:808-237-0723
Mailing Address - Fax:
Practice Address - Street 1:46-063 EMEPELA PL APT R202
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3932
Practice Address - Country:US
Practice Address - Phone:808-237-0723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI48982163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool