MS. Bethany K Johnson, CPM, LM

NPI #1356621569 in Keller, Texas

Provider Information

NPI Number: 1356621569
Entity Type: Individual
Name: MS. Bethany K Johnson, CPM, LM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: CPM, LM
Enumeration Date: Aug 18, 2011
Last Updated: Aug 18, 2011

Practice Location

Address: 1210 CLARK SPRINGS DR
City: Keller
State: Texas
ZIP Code: 76248-3642
Phone: (618) 317-8088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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