Individual
KELLY MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
22484 NW 87TH AVENUE RD, MICANOPY, FL 32667-7435
(970) 581-5173
Mailing address
22484 NW 87TH AVENUE RD, MICANOPY, FL 32667-7435
(970) 581-5173
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8921
FL
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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