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

Individual provider Registered Dietitian · NPI 1174162572

Miss. Koran Bianca Watson is a Registered Dietitian in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

21 S 11th St
Philadelphia, PA 19107-4223
Phone: (267) 209-3245
Fax: (267) 907-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DN0006020 (PA)
Registered Dietitian Taxonomy 133V00000X · Licence DN006020 (PA)

Record details

NPI number1174162572
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESAugust 12, 2022
Certification dateAugust 12, 2022

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