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Individual
MRS. KIMBERLY PAIGE JOHNSON
Active
Individual
MRS. KIMBERLY PAIGE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001130
VA
237700000X
Hearing Instrument Specialist
2101001311
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063630234
—
VA
05
—
30015797610001
—
VA
Enumeration date
04/23/2007
Last updated
03/12/2024
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