Individual
MRS. KENNITA LUVANGEE BURNS-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
164 GREENVIEW DR STE 345, STATE COLLEGE, PA 16803-2106
(814) 234-7599
(814) 237-2126
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6702
(814) 231-7000
(814) 231-7098
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS018355
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS018355
PA LICENSE
PA
Enumeration date
06/10/2011
Last updated
06/19/2025
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