Individual
KARY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
16410 FOWLER AVE, OMAHA, NE 68116-3245
(402) 250-2668
Mailing address
16410 FOWLER AVE, OMAHA, NE 68116-3245
(402) 250-2668
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
56048
NE
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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