Individual
KELLY JO JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CD
Contact information
Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
(715) 822-7501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2237-29
WI
Other
Enumeration date
10/27/2017
Last updated
02/18/2026
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