Individual
KYNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S 11TH ST, NILES, MI 49120-4203
(269) 246-2450
Mailing address
1501 N 11TH ST, NILES, MI 49120-1207
(269) 363-1465
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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