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Individual
DR. KIM M JOHNSTON
Active
Individual
DR. KIM M JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8655
FL
171100000X
Acupuncturist
CH8655
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89041
BLUE CROSS BLUE SHEILD #
FL
01
—
AN996
MEDICARE PTAN
FL
Enumeration date
09/13/2006
Last updated
05/27/2014
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