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Individual

DR. JENNIFER P JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
21020 W 151ST ST, OLATHE, KS 66061-7200
(913) 829-5511
(913) 829-5571
Mailing address
PO BOX 219241, KANSAS CITY, MO 64121-9241
(913) 829-5511
(913) 829-5571

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1464
KS
152W00000X
Optometrist
T03242
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410039582
RAILROAD MEDICARE
KS
Enumeration date
02/22/2006
Last updated
10/19/2010
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