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Individual

CAMERON JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA, DNP

Contact information

Practice address
130 BEAVER DR, RICHMOND, KY 40475-8901
(859) 582-0406
Mailing address
130 BEAVER DR, RICHMOND, KY 40475-8901
(859) 582-0406

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1162642
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4058263
KY

Other

Enumeration date
09/19/2023
Last updated
06/01/2026
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