Individual
KRISTA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4401
(859) 258-4418
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4401
(859) 258-4418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3010342
KY
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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