Individual
MRS. KELLY K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHIIM,RHIA,BS,RT(VS)
Contact information
Practice address
14734 SONOMA BLVD, SILVERHILL, AL 36576-3390
(850) 387-6682
Mailing address
14734 SONOMA BLVD, SILVERHILL, AL 36576-3390
(850) 387-6682
(850) 785-3941
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
463756
FL
2471S1302X
Sonography Radiologic Technologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226943
AHIMA
—
01
—
463756
ARRT
FL
Enumeration date
07/06/2011
Last updated
08/29/2019
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