Individual
MRS. KATHRYN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 N CHALLENGER DR, PUEBLO WEST, CO 81007-3918
(719) 542-6390
Mailing address
1409 N CHALLENGER DR, PUEBLO WEST, CO 81007-3918
(719) 542-6390
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
21849
CO
Other
Enumeration date
11/10/2012
Last updated
11/10/2012
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