Individual
KATHLEEN OGDEN JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8422 SUN DR, PORT RICHEY, FL 34668-3339
(727) 237-1570
(727) 213-6240
Mailing address
8422 SUN DR, PORT RICHEY, FL 34668-3339
(727) 237-1570
(727) 213-6240
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1119072
FL
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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