Individual
MS. KELLIE RENAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1315 SW 6TH AVE STE B, TOPEKA, KS 66606-1582
(785) 233-5500
(785) 233-5512
Mailing address
1315 SW 6TH AVE STE B, TOPEKA, KS 66606-1582
(785) 233-5500
(785) 233-5512
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1402169
KS
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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