Individual
DR. CARYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3450 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 404-2170
(816) 404-2748
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2019019919
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548436645
—
MO
05
—
730249710
—
GA
Enumeration date
05/08/2008
Last updated
08/28/2019
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