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Individual

KENESHA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4020 SAINT FERDINAND AVE APT B, SAINT LOUIS, MO 63113-3242
(314) 585-8770
Mailing address
4020 SAINT FERDINAND AVE APT B, SAINT LOUIS, MO 63113-3242
(314) 585-8770

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
31554954
MO

Other

Enumeration date
04/09/2026
Last updated
04/09/2026
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