Individual
KIMBERLY A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(667) 701-2715
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(667) 701-2715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R167969
MD
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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