Individual
KELLY B JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2780 CLEVELAND AVE STE 42B, FORT MYERS, FL 33901-5858
(239) 246-5132
Mailing address
2780 CLEVELAND AVE STE 42B, FORT MYERS, FL 33901-5858
(239) 246-5132
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9174701
FL
Other
Enumeration date
03/26/2007
Last updated
08/06/2007
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