Individual
KIMBERLY MARGARET JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 84640, ALBUQUERQUE, NM 87131-0001
(505) 272-4814
Mailing address
8701 W WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
03/23/2022
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