Individual
KRISTIN JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
107 METKER TRL, SUITE A, STANFORD, KY 40484-1049
(606) 365-8338
(606) 365-8142
Mailing address
107 METKER TRL, SUITE A, STANFORD, KY 40484-1049
(606) 365-8338
(606) 365-8142
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010603
KY
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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