Individual
DR. KIMBERLY SUSAN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403-5612
(850) 283-7678
(850) 283-7620
Mailing address
1214 HUNTINGTON RIDGE RD, LYNN HAVEN, FL 32444-3189
(850) 814-7987
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
024311
LA
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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