Individual
KORI A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP
Contact information
Practice address
130 CASANOFF WAY, KIANA, AK 99749
(907) 475-2199
(907) 475-2198
Mailing address
130 CASANOFF WAY, KIANA, AK 99749
(907) 475-2199
(907) 475-2198
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11-1112-II
AK
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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