Individual
KRISTIN K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 CENTENNIAL DR, CHADRON, NE 69337-9400
(308) 432-4441
(308) 432-2130
Mailing address
PO BOX 431, CHADRON, NE 69337-0431
(308) 432-4441
(308) 432-2130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17953
NE
Other
Enumeration date
11/22/2005
Last updated
01/13/2011
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