Kenita K Johnson, PA-C

NPI #1023140167 in Omaha, Nebraska

Provider Information

NPI Number
1023140167
Entity Type
Individual
Name
Kenita K Johnson, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 12, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4101 WOOLWORTH AVE
City
Omaha
ZIP Code
68105-1850
Phone
(402) 346-8800

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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