Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth R Watson, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1114905221

Dr. Kenneth R Watson, DO is a Pathology in Kansas City, Missouri. Qualified in 1977, 49 years ago. Practices with Mawd Pathology Group Inc, a 38-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
49
Licensed in
CA, MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10330 Hickman Mills Dr
Kansas City, MO 64137-1618
Phone: (816) 412-7004
Fax: (816) 763-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence R8692 (MO)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 20A9489 (CA)

Record details

NPI number1114905221
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESNovember 26, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Mawd Pathology Group Inc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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