Individual
KIM JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
218 3RD ST, ELKINS, WV 26241-3833
(304) 636-5195
Mailing address
978 HARRISON AVE, ELKINS, WV 26241-4607
(304) 636-5195
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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