Kenna Riley Watson
Kenna Riley Watson is a Physician Assistant in Campobello, South Carolina. Qualified in 2023, 3 years ago. Practices with Dlp Rutherford Physician Practices LLC, a 38-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
50 Emma DrCampobello, SC 29322-9295
Phone: (910) 315-3044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1306536172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 15, 2023 |
| Last updated in NPPES | May 15, 2023 |
| Certification date | May 13, 2023 |
| Mailing address | 50 Emma Dr, Campobello, SC 29322-9295 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Dlp Rutherford Physician Practices Llc — 38 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |