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Individual

KELSEY JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1112 W 6TH ST STE 215, LAWRENCE, KS 66044-2215
(785) 505-2250
(785) 505-5259
Mailing address
325 MAINE STREET, MSO LIBRARY, LAWRENCE, KS 66044-1326
(785) 505-2988

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81630
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30004904590001
KS
Enumeration date
09/06/2022
Last updated
10/03/2024
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