Individual
KAITLUND RAKEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 626-9917
Mailing address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
(509) 626-9917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61242890
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2019
Last updated
06/01/2022
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