Individual
DR. KIMBERLY ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2210 OMRO RD, STE A, OSKOSH, WI 54904-7746
(920) 426-4200
(920) 426-3730
Mailing address
2210 OMRO RD, STE A, OSKOSH, WI 54904-7746
(920) 426-4200
(920) 426-3730
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WI2589
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38858600
—
WI
01
—
391850270011
BLUE CROSS BLUE SHIELD
WI
Enumeration date
09/08/2005
Last updated
04/29/2009
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