Provider Demographics
NPI:1558553578
Name:WATTS PUBLIC SCHOOL
Entity Type:Organization
Organization Name:WATTS PUBLIC SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-422-5311
Mailing Address - Street 1:RR 2 BOX 1
Mailing Address - Street 2:
Mailing Address - City:WATTS
Mailing Address - State:OK
Mailing Address - Zip Code:74964-9501
Mailing Address - Country:US
Mailing Address - Phone:918-422-5311
Mailing Address - Fax:918-422-5556
Practice Address - Street 1:RR 2 BOX 1
Practice Address - Street 2:
Practice Address - City:WATTS
Practice Address - State:OK
Practice Address - Zip Code:74964-9501
Practice Address - Country:US
Practice Address - Phone:918-422-5311
Practice Address - Fax:918-422-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)