Individual
MRS. MACKENZIE T JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC-PNP
Contact information
Practice address
6750 W 135TH ST, OVERLAND PARK, KS 66223-4802
(913) 717-4700
Mailing address
6750 W 135TH ST, OVERLAND PARK, KS 66223-4802
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13-137122-011
KS
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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