Individual
MRS. KATHLEEN ALMA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 HEALTH CARE DR, GREENVILLE, IL 62246-1159
(618) 664-2531
(618) 664-2553
Mailing address
101 HEALTH CARE DR, GREENVILLE, IL 62246-1159
(618) 664-2531
(618) 664-2553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209-001610
IL
Other
Enumeration date
02/21/2007
Last updated
08/14/2008
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