Individual
CAMERON JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Primary
1162642
KY
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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