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Individual

MEGAN CECILE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7924 NE 53RD ST, KANSAS CITY, MO 64119-4149
(816) 438-1479
Mailing address
7924 NE 53RD ST, KANSAS CITY, MO 64119-4149
(816) 438-1479

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2003010322
MO
363LW0102X
Women's Health Nurse Practitioner
80050
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MHA422658283459
PRIVATE INSURANCE
MO
Enumeration date
07/28/2019
Last updated
01/03/2023
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