Individual
KENNETHA DOREEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 S BANK ST, MT STERLING, KY 40353-1322
(859) 520-3044
(859) 520-3077
Mailing address
104 CATHERINE ST, CARLISLE, KY 40311-1206
(859) 513-0212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
310019
KY
163WI0500X
Infusion Therapy Registered Nurse
310019
KY
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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