Individual
MRS. VANESSA N. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1004 CARONDELET DR, SUITE 330, KANSAS CITY, MO 64114-4801
(816) 914-6400
(816) 941-6404
Mailing address
1004 CARONDELET DR, SUITE 330, KANSAS CITY, MO 64114-4801
(816) 914-6400
(816) 941-6404
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2009003502
MO
Other
Enumeration date
04/20/2009
Last updated
05/17/2011
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