Individual
EMILY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 PROSPEROUS PL STE 201, LEXINGTON, KY 40509-1866
(859) 368-0609
Mailing address
4173 RESERVE RD APT 104, LEXINGTON, KY 40514-4077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1177961
KY
Other
Enumeration date
01/22/2025
Last updated
02/26/2025
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