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Individual

MEGAN AMANDA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-1127
Mailing address
4942 WALNUT ST APT 2S, KANSAS CITY, MO 64112-2611
(816) 769-3783

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187221
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/13/2023
Last updated
10/15/2024
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