Individual
DR. MANDY JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5403 N AVE, KEARNEY, NE 68847-8514
(308) 234-9133
(308) 234-4006
Mailing address
5403 N AVE, KEARNEY, NE 68847-8514
(308) 234-9133
(308) 234-4006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1220
NE
Other
Enumeration date
04/22/2006
Last updated
11/08/2021
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