Individual
DR. KIMBERLY D. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1081 E 18TH ST, ROLLA, MO 65401-2448
(734) 262-4075
(573) 426-6723
Mailing address
1081 E 18TH ST, ROLLA, MO 65401-2448
(573) 426-4455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006002908
MO
Other
Enumeration date
02/06/2006
Last updated
07/29/2020
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