MEDICARE: WATSON HUGHES & KAHLE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1326158569
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WATSON HUGHES & KAHLE PC

Provider Business Mailing Address
First Line	:	6990 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128
Country	:	US
Telephone Number	:	702-242-5155
Fax Number	:	702-242-5150

Provider Business Practice Location Address
First Line	:	6990 SMOKE RANCH RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128
Country	:	US
Telephone Number	:	702-242-5155
Fax Number	:	702-242-5150

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TIFFANY S BOUDREAU
Credential	:
Telephone Number	:	702-242-5155

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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