Individual
KATHRYN ROSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3763 FRANKLIN RD SW, ROANOKE, VA 24014-2261
(540) 989-6515
(540) 772-2597
Mailing address
5049 VALLEY VIEW BLVD NW, ROANOKE, VA 24012-2074
(540) 362-7565
(540) 563-0441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002683
VA
Other
Enumeration date
08/12/2018
Last updated
08/12/2018
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