Individual
XIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSS, CSA
Contact information
Practice address
736 W MAIN ST, LEXINGTON, KY 40508-2020
(859) 285-4768
Mailing address
430 OHIO ST, LEXINGTON, KY 40508-1531
(859) 285-4768
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
KY
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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