Provider Demographics
NPI:1902316128
Name:WATKINS, AMERICA KIRBY
Entity Type:Individual
Prefix:MISS
First Name:AMERICA
Middle Name:KIRBY
Last Name:WATKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 SCOTT ROBINSON BLVD APT 1136
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7877
Mailing Address - Country:US
Mailing Address - Phone:702-888-5348
Mailing Address - Fax:
Practice Address - Street 1:3940 SCOTT ROBINSON BLVD APT 1136
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7877
Practice Address - Country:US
Practice Address - Phone:702-888-5348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-02
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health