Individual
MS. KRISTEN JANINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9201 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28223-0001
(704) 687-2478
Mailing address
6005 PINEBARK CT, CHARLOTTE, NC 28212-4593
(704) 458-0205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1297
NC
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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