Individual
KENNETH R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5207 LINCOLNSHIRE CT, DALLAS, TX 75287-5429
(214) 537-4039
(972) 380-5916
Mailing address
5207 LINCOLNSHIRE CT, DALLAS, TX 75287-5429
(214) 537-4039
(972) 380-5916
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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