DR. Kelsey Johnson

NPI #1821601584 in Bloomington, Illinois

Provider Information

NPI Number: 1821601584
Entity Type: Individual
Name: DR. Kelsey Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 24, 2020
Last Updated: Aug 24, 2020

Practice Location

Address: 2203 E OAKLAND AVE
City: Bloomington
State: Illinois
ZIP Code: 61701-5760
Phone: (309) 663-6341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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