Individual
MEGAN A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S 4TH ST, LEAVENWORTH, KS 66048-5082
(877) 307-4915
Mailing address
5736 OSAGE AVE, KANSAS CITY, KS 66106-1349
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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