Individual
KENDALL ISAIAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18109 PRINCE PHILIP DR, OLNEY, MD 20832-1519
(301) 260-3280
Mailing address
13105 RIVIERA TER, SILVER SPRING, MD 20904-3582
(301) 448-0294
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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