Individual
KAYLAN LYNNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLC
Contact information
Practice address
5050 POPLAR AVE STE 1715, MEMPHIS, TN 38157-1701
(901) 590-5590
Mailing address
5050 POPLAR AVE STE 1715, MEMPHIS, TN 38157-1701
(901) 590-5590
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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