Individual
DR. KAY DEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
102 SHERIDAN ST W, LANESBORO, MN 55949-9725
(507) 467-2629
(507) 467-2638
Mailing address
102 SHERIDAN ST W, LANESBORO, MN 55949-9725
(507) 467-2629
(507) 467-2638
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148R8RI
BCBS GROUP #
MN
01
—
148R9RI
BCBS INDIVIDUAL #
MN
Enumeration date
08/11/2005
Last updated
07/17/2007
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