Individual
KENDRICK C JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13737 NOEL RD STE 1400, DALLAS, TX 75240-2004
(972) 663-8523
(972) 663-8329
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
881720
TX
Other
Enumeration date
06/06/2013
Last updated
11/11/2021
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