Individual
KRISTINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33672 BAYVIEW MEDICAL DR FL 1, LEWES, DE 19958-1687
(302) 645-2437
(833) 629-0820
Mailing address
12497 HARD DR, MILTON, DE 19968
(302) 265-7212
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
00000000
DE
363A00000X
Physician Assistant
Primary
C5-0011609
DE
Other
Enumeration date
08/02/2021
Last updated
10/03/2024
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