Individual
DR. KELLY E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1801 CENTURY PARK E FL 24, LOS ANGELES, CA 90067-2302
(888) 219-5299
Mailing address
105 TALON DR, CONWAY, SC 29527-7478
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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