Individual
KELLY ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 443-2250
Mailing address
3547 FALCON WAY, CONROE, TX 77304-4880
(936) 443-2250
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
829622
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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