Individual
MR. DALE ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP-C
Contact information
Practice address
301 S WASHINGTON, COLDWATER, KS 67029
(620) 582-2136
(620) 582-2515
Mailing address
HC 64 BOX 51A, COLDWATER, KS 67029-9340
(620) 582-2518
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
45205
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100395640B
—
KS
Enumeration date
07/03/2006
Last updated
07/09/2007
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