Individual
KENNETHIA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 MELISSA MILE RD, 11-202, WINTER HAVEN, FL 33884
(863) 259-6981
Mailing address
1317 MELISSA MILE RD, 11-202, WINTER HAVEN, FL 33884
(863) 259-6981
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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