Provider Demographics
NPI:1497896260
Name:KRIS WATSON & ASSOCIATES INC
Entity Type:Organization
Organization Name:KRIS WATSON & ASSOCIATES INC
Other - Org Name:FINE HEARING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:ALISE
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:405-340-9191
Mailing Address - Street 1:2801 S BRYANT AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6137
Mailing Address - Country:US
Mailing Address - Phone:405-340-9191
Mailing Address - Fax:405-340-9185
Practice Address - Street 1:2801 S BRYANT AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6137
Practice Address - Country:US
Practice Address - Phone:405-340-9191
Practice Address - Fax:405-340-9185
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KRIS WATSON & ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-12
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100811530CMedicaid
OK100811530CMedicaid