Individual
KENDELL M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
813 WHITEWATER AVE, FORT ATKINSON, WI 53538-2631
(920) 723-8153
Mailing address
813 WHITEWATER AVE, FORT ATKINSON, WI 53538-2631
(920) 723-8153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
256804-30
WI
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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