Individual
KRISTIN HOKANSON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5111 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2201
(952) 922-4300
(952) 922-4301
Mailing address
5111 MINNETONKA BLVD, ST LOUIS PARK, MN 55416-2201
(952) 922-4300
(952) 922-4301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54137
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
06/23/2010
Last updated
04/23/2014
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