Kenneth Dean Johnson

NPI #1134926686 in Bloomfield, Nebraska

Provider Information

NPI Number: 1134926686
Entity Type: Individual
Name: Kenneth Dean Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Mar 3, 2025
Last Updated: Mar 3, 2025

Practice Location

Address: 212 E ELM ST
City: Bloomfield
State: Nebraska
ZIP Code: 68718-3122
Phone: (402) 360-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Adult Companion	372600000X	Primary

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