Individual
JENNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1708 E 23RD AVE, HUTCHINSON, KS 67502-1114
(620) 663-7187
Mailing address
1708 E 23RD AVE, HUTCHINSON, KS 67502-1114
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1444
NE
152W00000X
Optometrist
Primary
2029
KS
Other
Enumeration date
07/07/2015
Last updated
07/01/2016
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