Kelly T Johnson
NPI #1619686730 in Manchester, New Hampshire
Provider Information
- NPI Number
- 1619686730
- Entity Type
- Individual
- Name
- Kelly T Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Nov 17, 2022
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 202 JEWETT ST # 2
- City
- Manchester
- State
- New Hampshire
- ZIP Code
- 03103-2823
- Phone
- (603) 717-4439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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