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Individual
KYLE A JOHNSON
Active
Individual
KYLE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.518956
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.518956
OH
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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