Individual
COURTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 CHAMPIONS TRACE LN, 102, LOUISVILLE, KY 40218-3495
(502) 589-8600
(502) 589-8771
Mailing address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2045049
KY
Other
Enumeration date
11/01/2011
Last updated
02/26/2014
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