Individual
KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 PINE ST, WELLSVILLE, KS 66092-8829
(520) 260-9962
Mailing address
604 PINE ST, WELLSVILLE, KS 66092-8829
(520) 260-9962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
53-14125284-092
KS
363LF0000X
Family Nurse Practitioner
Primary
RN071834
AZ
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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