Individual
MRS. KELLY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
372 S 9TH ST, DAVID CITY, NE 68632-2116
(402) 367-1378
Mailing address
372 S 9TH ST, DAVID CITY, NE 68632-2116
(402) 367-1378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111131
NE
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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