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Individual
MRS. KATHLEEN ANN JOHNSON
Active
Individual
MRS. KATHLEEN ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN689230
OH
163W00000X
Registered Nurse
RN689230
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024770
OH
363LF0000X
Family Nurse Practitioner
Primary
SP024770
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166879
—
OH
Enumeration date
12/02/2021
Last updated
02/05/2026
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