Individual
BRANDI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 N 159TH ST E, WICHITA, KS 67230-7704
(316) 440-1312
(316) 440-1318
Mailing address
520 E AUGUSTA AVE, AUGUSTA, KS 67010-2100
(316) 775-5491
(316) 775-5442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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