Individual
KELLY JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
607 W MAIN ST, MARSHALL, MN 56258-3169
(507) 476-9555
Mailing address
2141 90TH AVE, BALATON, MN 56115-1137
(507) 626-1870
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2219747
MN
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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