Provider Demographics
NPI:1962429530
Name:WATKINS, RITA J (MD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:J
Last Name:WATKINS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1955 DIXIE HIGHWAY
Mailing Address - Street 2:SUITE D
Mailing Address - City:FT. WRIGHT
Mailing Address - State:KY
Mailing Address - Zip Code:41011
Mailing Address - Country:US
Mailing Address - Phone:859-341-5757
Mailing Address - Fax:859-331-4757
Practice Address - Street 1:1955 DIXIE HIGHWAY
Practice Address - Street 2:SUITE D
Practice Address - City:FT. WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011
Practice Address - Country:US
Practice Address - Phone:859-341-5757
Practice Address - Fax:859-331-4757
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2014-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY25648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64256480Medicaid
OH2389731Medicaid
KYP400039072Medicare PIN
KYD74260Medicare UPIN
OH2389731Medicaid