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Individual

KRISTOPHER L JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNP

Contact information

Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 310-8917

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001814
SD
363LF0000X
Family Nurse Practitioner
CP001814
SD

Other

Enumeration date
08/17/2020
Last updated
02/13/2024
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