Individual
KIMBERLY LAKAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4602 CALLE ROBLE, TEMPLE, TX 76502-3414
(254) 393-6594
Mailing address
4602 CALLE ROBLE, TEMPLE, TX 76502-3414
(254) 393-6594
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1061910
TX
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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