Individual
DR. KENDALL R JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
53035
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
53035
CT
Other
Enumeration date
04/19/2011
Last updated
04/15/2022
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