Individual
KIMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
916 E LEWIS ST, HEARTLAND CARE PARTNERS, WHITEHALL, MI 49461-1699
(419) 252-6018
(800) 564-5952
Mailing address
333 N SUMMIT ST FL 7, HCR MANORCARE MEDICAL SERVICES OF FLORIDA LLC, TOLEDO, OH 43604-2615
(419) 252-6018
(800) 564-5952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
JK133105
MI
363L00000X
Nurse Practitioner
Primary
4704133105
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4338002 TYPE 11
—
MI
01
—
500F410070
BCBS
MI
Enumeration date
07/07/2006
Last updated
09/10/2015
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