Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH W WATSON CRNA
NPI 1174596068
Nurse Anesthetist, Certified Registered in Cordele, GA

Q: What is Kenneth Watson's NPI number?

The NPI number for Kenneth Watson is 1174596068. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Kenneth Watson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Watson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2006

902 N 7TH ST, CORDELE, GA 31015(229) 276-3100(229) 276-3306 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth W Watson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH W WATSON CRNA (NPI 1174596068) is an individual nurse anesthetist, certified registered in Cordele, Georgia, licensed in Georgia (R043600) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1174596068

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKENNETH W WATSONCredential: CRNA

Location Address902 N 7TH STCordele, GA 31015

Mailing AddressPo Box 5007Cordele, GA 31010 · (229) 271-4656 · Fax (229) 271-4654

Phone(229) 276-3100

Fax(229) 276-3306

Sole ProprietorNo

Enumeration DateFebruary 10, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1174596068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in GA · R043600

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

902 N 7TH ST, Cordele, GA 31015

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Other Identifiers 1

Medicaid00550987EGA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. EMILY SELPH KING MS, RD, LD

Dietitian, Registered