Individual
KIMBERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 FOREST LN, BUCHANAN, TN 38222-3679
(210) 259-6712
Mailing address
1940 FOREST LN, BUCHANAN, TN 38222-3679
(219) 259-6712
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
757396
TX
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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