Kelly Johnson

NPI #1013254259 in Urbana, Illinois

Provider Information

NPI Number
1013254259
Entity Type
Individual
Name
Kelly Johnson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 8, 2013
Last Updated
Aug 27, 2013

Practice Location

Address
1818 E. WINDSOR ROAD
City
Urbana
ZIP Code
61802-9566
Phone
(217) 255-9670

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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