Individual
DR. KELLY GAINES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2828 W UNIVERSITY BLVD, SUITE 114, DURANT, OK 74701-3090
(580) 745-5171
(580) 745-5173
Mailing address
2001 N LOY LAKE RD, SUITE H, SHERMAN, TX 75090-2839
(903) 482-4018
(903) 482-4024
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80077
TX
237600000X
Audiologist-Hearing Aid Fitter
80077
TX
Other
Enumeration date
01/05/2012
Last updated
07/21/2015
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