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Individual

MR. CHUL HEE JUSTIN JOHNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
6830 ANDERSON ST, SHAWNEE, KS 66226-3101
(816) 922-2750
(816) 922-3399
Mailing address
9106 W 97TH ST, OVERLAND PARK, KS 66212-5041
(281) 413-2755

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129041
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
089401-23
NH

Other

Enumeration date
08/22/2022
Last updated
10/19/2023
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