Individual
KELSEY ALEXIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 SHILOH SPRINGS RD, DAYTON, OH 45415-3196
(937) 271-7218
Mailing address
3122 WAYNE AVE, DAYTON, OH 45420-1964
(937) 271-7218
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
APS.003743
OH
175T00000X
Peer Specialist
Primary
APS.03743
OH
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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