Individual
KERI P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
637 DUNN RD STE 102B, HAZELWOOD, MO 63042-1755
(314) 921-4500
(314) 921-1077
Mailing address
637 DUNN RD STE 102B, HAZELWOOD, MO 63042-1755
(314) 921-4500
(314) 921-1077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2003011032
MO
Other
Enumeration date
05/23/2006
Last updated
04/10/2019
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