Individual
DR. KASSIE SOEFJE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 COURTHOUSE XING, INDEPENDENCE, KY 41051-2509
(859) 356-6800
(859) 363-4073
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 356-6800
(859) 363-4073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020-03203
NC
207Q00000X
Family Medicine Physician
Primary
59606
KY
207Q00000X
Family Medicine Physician
TP198
KY
207QS0010X
Sports Medicine (Family Medicine) Physician
2020-03203
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Q1632
TX
Other
Enumeration date
06/01/2012
Last updated
06/26/2024
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