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Individual
KENNETHA DOREEN JOHNSON
Active
Individual
KENNETHA DOREEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
310019
KY
163WI0500X
Infusion Therapy Registered Nurse
310019
KY
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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