Individual
KATHLEEN ANNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1692 WILLIAMS HWY, GRANTS PASS, OR 97527-1805
(541) 479-8858
(541) 479-8859
Mailing address
1692 WILLIAMS HWY, GRANTS PASS, OR 97527-1805
(541) 479-8858
(541) 479-8859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650113NP
OR
Other
Enumeration date
10/06/2006
Last updated
08/30/2010
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