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Individual

DR. KENDAL E JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
20160 W 153RD ST, OLATHE, KS 66062-9131
(913) 764-2271
(913) 764-2276
Mailing address
20160 W 153RD ST, OLATHE, KS 66062-9131
(913) 764-2271
(913) 764-2276

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0105928
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-05928
KANSAS STATE BOARD OF HEALING ARTS
KS
Enumeration date
09/17/2018
Last updated
09/17/2018
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