Individual
DR. KELLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11001 BLUEGRASS PKWY STE 200, LOUISVILLE, KY 40299-2368
(502) 805-3530
Mailing address
11001 BLUEGRASS PKWY STE 200, LOUISVILLE, KY 40299-2368
(502) 805-3530
(502) 805-3535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014496
KY
Other
Enumeration date
09/19/2011
Last updated
09/02/2022
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