Kadeem David Johnson
NPI #1194286005 in Wallingford, Connecticut
Provider Information
- NPI Number
- 1194286005
- Entity Type
- Individual
- Name
- Kadeem David Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 26, 2019
- Last Updated
- Jul 10, 2023
Practice Location
- Address
- 35 MARK DRIVE
- City
- Wallingford
- State
- Connecticut
- ZIP Code
- 06492
- Phone
- (203) 265-0981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Skilled Nursing Facility |
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