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Individual

MRS. KYLEE DEE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM, WHNP

Contact information

Practice address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(208) 201-8265
Mailing address
2065 E 17TH ST STE A, IDAHO FALLS, ID 83404-8042
(208) 497-0541
(208) 497-0873

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
59832
ID
363L00000X
Nurse Practitioner
Primary
2371485
ID

Other

Enumeration date
11/01/2018
Last updated
10/19/2025
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