Individual
KELLY A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6403 MALCOLM DR, DALLAS, TX 75214-3104
(214) 914-2480
Mailing address
6403 MALCOLM DR, DALLAS, TX 75214-3104
(214) 914-2480
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N8669
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2461803
—
OH
Enumeration date
06/23/2005
Last updated
03/22/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us