Individual
KENNETH T JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
560 N EXPOSITION, WICHITA, KS 67203
(316) 264-8317
(316) 264-0347
Mailing address
337 N ARMOUR ST, WICHITA, KS 67206-2030
(316) 854-0112
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
781
KS
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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