Individual
ALLYSON HALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
(816) 234-3000
Mailing address
3101 BROADWAY BLVD, KANSAS CITY, MO 64111-2659
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
2021026658
MO
152WP0200X
Pediatric Optometrist
2148
KS
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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