Individual
KOREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 KIRBY RD, ASHEVILLE, NC 28806-8908
(919) 802-1524
Mailing address
31 KIRBY RD, ASHEVILLE, NC 28806-8908
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243317
NC
Other
Enumeration date
09/29/2010
Last updated
07/17/2015
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