Individual
JENNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 REGENCY RD STE 5, LEXINGTON, KY 40503-2333
(859) 402-1553
(859) 514-6575
Mailing address
125 VINCEWOOD DR, NICHOLASVILLE, KY 40356-9342
(859) 312-1838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3753
KY
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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