Individual
KERI ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
227 E MAIN ST STE 200, MANKATO, MN 56001-3573
(507) 345-8591
Mailing address
227 E MAIN ST STE 200, MANKATO, MN 56001-3573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R190591-3
MN
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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