Individual
KIM JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 N COLONIAL RDG, MOORESTOWN, NJ 08057-1633
(856) 273-1832
Mailing address
310 N COLONIAL RDG, MOORESTOWN, NJ 08057-1633
(856) 273-1832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05727600
NJ
174N00000X
Lactation Consultant (Non-RN)
Primary
10117364
NJ
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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