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Individual

VIOLA JUNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ARNP

Contact information

Practice address
1001 EMANUEL CLEAVER II BLVD, KANSAS CITY, MO 64110-1687
(816) 756-2277
Mailing address
4401 W 109TH ST, SUITE 200, OVERLAND PARK, KS 66211-1303
(913) 312-5100

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
149591
MO
363LW0102X
Women's Health Nurse Practitioner
44564
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06215014
BCBS KC GRP #
MO
01
09841038
BCBS KC PROVIDER#
MO
01
110035
BCBS KS GRP #
KS
01
161053
BCBS KS PROVIDER #
KS
Enumeration date
03/14/2007
Last updated
07/09/2007
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