Individual
MRS. PEGGY ANN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
10 E 31ST ST, KEARNEY, NE 68847-2926
(308) 865-2640
Mailing address
210 E 34TH ST, KEARNEY, NE 68847-3024
(308) 234-5389
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
456
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456
STATE LICENSE
NE
01
—
R551762
ADA REGISTRATION NUMBER
NE
Enumeration date
03/20/2007
Last updated
07/08/2007
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