Individual
KATHY LOU JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3113 E WASHINGTON AVE, MADISON, WI 53704-4330
(608) 242-0220
(608) 242-1166
Mailing address
371 E KLUBERTANZ DR, SUN PRAIRIE, WI 53590-1556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12011-031
WI
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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