Individual
KATHLEEN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
10116 W 105TH ST, OVERLAND PARK, KS 66212-5746
(913) 541-0510
(913) 541-1852
Mailing address
10116 W 105TH ST, OVERLAND PARK, KS 66212-5746
(913) 541-0510
(913) 541-1852
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
2023043769
MO
363LG0600X
Gerontology Nurse Practitioner
Primary
53-76727-091
KS
Other
Enumeration date
10/17/2013
Last updated
08/05/2024
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