Individual
KASHAIRRA MCKNIGHT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 ORAN DR, SAINT LOUIS, MO 63137-1135
(314) 255-4500
Mailing address
1109 ORAN DR, SAINT LOUIS, MO 63137-1135
(314) 255-4500
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
COMPANIONSHIP
—
Enumeration date
12/26/2018
Last updated
12/26/2018
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