Individual
KATHLEEN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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