Individual
KEIMAH W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
555 S 43RD ST, PHILADELPHIA, PA 19104-4408
(215) 685-7504
(215) 685-7551
Mailing address
500 S BROAD ST, SUITE 360, PHILADELPHIA, PA 19146-1613
(215) 685-6769
(215) 685-6732
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SP009682
PA
Other
Enumeration date
06/11/2010
Last updated
07/01/2015
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