Individual
KASEE DAWN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1404
Mailing address
114 S KENNEDY ST, VINITA, OK 74301-7541
(918) 301-8273
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0071134
OK
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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