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

Kevin Mark Watson, ATC/L

Individual provider Specialist · NPI 1992773972

Kevin Mark Watson, ATC/L is a Specialist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

11130 Parkview Circle Dr
Fort Wayne, IN 46845-1735
Phone: (260) 901-3261
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Specialist Taxonomy 174400000X · Licence 36000424A (IN)

Record details

NPI number1992773972
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC/L
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESMarch 14, 2016
Mailing address1406 Villa Ct, North Manchester, IN 46962-1344

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