Individual
KELBY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1417 N 1ST ST, HASKELL, TX 79521-5435
(940) 228-0612
(940) 228-4161
Mailing address
1417 N 1ST ST, HASKELL, TX 79521-5435
(940) 228-0612
(940) 228-4161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP144346
TX
Other
Enumeration date
12/12/2019
Last updated
09/12/2025
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