Individual
DR. KAYSAN JOHNSON-OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3900 LOCH RAVEN BLVD BLDG 2, BALTIMORE, MD 21218-2108
(443) 401-1155
Mailing address
42-A MAIN STREET, REISTERSTOWN, MD 21136-3622
(410) 702-7354
(443) 569-6768
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R153197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9240055
—
MD
Enumeration date
04/27/2009
Last updated
12/06/2022
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