Individual
DR. STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
200 BRULE ST, FORT KNOX, KY 40121-6100
(502) 626-9993
(502) 624-0482
Mailing address
2702 BRADEN WAY, LEXINGTON, KY 40509-8572
(859) 913-1091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1649DT
KY
Other
Enumeration date
12/15/2006
Last updated
01/31/2025
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