Individual
DR. VANESSA GAYLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
787 PARKWAY DR, SALYERSVILLE, KY 41465-9740
(606) 349-3511
Mailing address
787 PARKWAY DR, SALYERSVILLE, KY 41465-9740
(606) 349-3511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04102
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100520750
—
KY
Enumeration date
04/15/2014
Last updated
02/27/2025
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