Individual
MRS. AMY M. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1605
KS
133V00000X
Registered Dietitian
Primary
2010009566
MO
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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