Kissy L Johnson

NPI #1770191728 in Jennings, Missouri

Provider Information

NPI Number
1770191728
Entity Type
Individual
Name
Kissy L Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Jul 15, 2020
Last Updated
Jul 15, 2020

Practice Location

Address
7045 IDLEWILD AVE
ZIP Code
63136-1040
Phone
(314) 737-1141

Specialties & Taxonomy Codes

Specialty
Home Health

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