Keaton Earl Johnson

NPI #1013707835 in Ponca, Nebraska

Provider Information

NPI Number: 1013707835
Entity Type: Individual
Name: Keaton Earl Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chore Provider
Enumeration Date: May 7, 2025
Last Updated: May 7, 2025

Practice Location

Address: 117 N UNION ST SUITE 1
Address 2: PO BOX 645
City: Ponca
State: Nebraska
ZIP Code: 68770-0645
Phone: (402) 508-2999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X	Primary

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