Individual
KELLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(843) 300-8946
Mailing address
5602 CYPRESS CREEK DR APT 201, HYATTSVILLE, MD 20782-3505
(843) 300-8946
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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