Individual
DR. AMANDA JO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1605 N PENN AVE, INDEPENDENCE, KS 67301-2137
(620) 331-3600
Mailing address
1605 N PENN AVE, INDEPENDENCE, KS 67301-2137
(620) 331-3600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05238
KS
Other
Enumeration date
03/23/2009
Last updated
03/12/2012
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