Individual
MRS. KEARSTEN NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 W HUDSON RD, ROGERS, AR 72756-2072
(479) 936-1061
Mailing address
1175 PEACH TREE AVE APT 308, TONTITOWN, AR 72762-3097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
03/03/2025
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