Provider Demographics
NPI:1467830992
Name:WATKINS, KAYLA MICHELE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:MICHELE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2845 W ELK AVE
Mailing Address - Street 2:BLDG 100
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1980
Mailing Address - Country:US
Mailing Address - Phone:580-255-9797
Mailing Address - Fax:580-255-9826
Practice Address - Street 1:1365 CLIFTON RD NE BLDG A4TH
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-5036
Practice Address - Country:US
Practice Address - Phone:404-778-3712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-17
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK31524208600000X
GA84397208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery