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General NPI Number Information
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NPI Number | 1750280699
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Entity Type | Organization
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Legal Business Name | WATKINS DERMATOLOGY AND ASSOCIATES, PLLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 211 PROFESSIONAL PARK DR
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City | GLASGOW
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State | KY
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Zip | 42141-3486
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Country | US
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Telephone | 270-715-4696
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 MONTCLAIR CT
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City | BOWLING GREEN
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State | KY
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Zip | 42103-6017
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON WATKINS
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Credential | MD
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Telephone | 502-321-2786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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