Individual
KAYMIE MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
501 E BROADWAY, LOUISVILLE, KY 40202-1785
(502) 852-6464
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 852-6464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
341165
NY
363LF0000X
Family Nurse Practitioner
Primary
3012871
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161421
RN
TN
Enumeration date
02/07/2008
Last updated
09/02/2021
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