Organization
REJUVE MED SPA PLLC
Active
Other names
Rejuve Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY JOHNSON MD (OWNER/PARTNER)
(859) 353-5570
Entity
Organization
Contact information
Practice address
630 EASTERN BYPASS, SUITE A, RICHMOND, KY 40475-2330
(859) 353-5570
(859) 353-5934
Mailing address
630 EASTERN BYPASS, SUITE A, RICHMOND, KY 40475-2330
(859) 353-5570
(859) 353-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3528P
KY
Other
Enumeration date
08/20/2010
Last updated
12/20/2010
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