Individual
DR. JON KELLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 E HIGH ST, MT STERLING, KY 40353-1214
(859) 498-7130
(859) 498-7138
Mailing address
100 E HIGH ST, MT STERLING, KY 40353-1214
(859) 498-7130
(859) 498-7138
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7057
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60070570
—
KY
Enumeration date
09/26/2011
Last updated
09/26/2011
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