Individual
KATHRYN JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., PH.D.
Contact information
Practice address
105 W LAKEWAY RD, GILLETTE, WY 82718-6369
(307) 686-2998
Mailing address
105 W LAKEWAY RD, GILLETTE, WY 82718-6369
(307) 686-2998
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 2753
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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