Individual
MRS. KIM KINARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6601 ZEBULON RD, MACON, GA 31220-7606
(478) 476-0805
(478) 475-9492
Mailing address
911 LAUREL AVENUE, MACON, GA 31211
(478) 320-7008
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN106735
GA
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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