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Individual

REBECCA SUE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6400 PROSPECT AVE, #598, KANSAS CITY, MO 64132-1100
(816) 444-6888
(816) 444-1375
Mailing address
6400 PROSPECT AVE, #598, KANSAS CITY, MO 64132-1100
(816) 444-6888
(816) 444-1375

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R3E15
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202096814
MO
Enumeration date
12/27/2005
Last updated
02/12/2010
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