Kellie Diann Johnson
NPI #1750690004 in Huntsville, Texas
Provider Information
- NPI Number
- 1750690004
- Entity Type
- Individual
- Name
- Kellie Diann Johnson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Oct 5, 2010
- Last Updated
- Oct 5, 2010
Practice Location
- Address
- 1412 15TH ST
- City
- Huntsville
- State
- Texas
- ZIP Code
- 77340-4430
- Phone
- (936) 222-0788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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