Individual
KATHERINE ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4906 39TH AVE, KENOSHA, WI 53144-2108
(262) 657-9390
Mailing address
5650 GRANDVIEW DR, GREENDALE, WI 53129-1540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16247-33
WI
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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