Individual
KALEIGH ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 W 24TH ST, KEARNEY, NE 68845-5331
(308) 627-6936
Mailing address
520 W 47TH STREET PL, KEARNEY, NE 68845-1229
(308) 627-6936
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
68464
NE
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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