NPI 1154711265

Kelly M Watson, FNP

Practitioner Family Nurse Practitioner Bolivar, MO

Practice location

Address: 1500 N Oakland Ave, Bolivar, MO 65613-3099
Phone: (417) 328-4201
Fax: (417) 326-3939
Mailing address: 22742 Midland Dr, Shawnee, KS 66226-3553

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 2016007903 (MO)

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Registry record

NPI: 1154711265
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jan 2015
Record last updated: 19 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.