Kelly Rene Johnson
NPI #1841489903 in Ukiah, California
Provider Information
- NPI Number
- 1841489903
- Entity Type
- Individual
- Name
- Kelly Rene Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Feb 17, 2014
Practice Location
- Address
- 727 S. STATE STREET
- City
- Ukiah
- State
- California
- ZIP Code
- 95482
- Phone
- (707) 467-5828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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