Individual
MS. KIMBERLY K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12527 NW OLD POST RD, BRISTOL, FL 32321-3728
(850) 643-4317
(850) 643-5359
Mailing address
PO BOX 446, BRISTOL, FL 32321-0446
(850) 643-4317
(850) 643-5359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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