Kenneth Johnson I
Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1003666819
StatusActive
Last updated in NPPESMar 25, 2024
Details
- NPI
- 1003666819
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Johnson I
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 25, 2024
- Certification date
- Mar 25, 2024
- Last updated
- Mar 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
344 E 100 SSalt Lake City, UT 84111-1700
Phone 801-428-4257
Mailing address
344 E 100 SSalt Lake City, UT 84111-1700
Phone 801-428-4257
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All 1,624 Community Health Worker providers in Salt Lake City · All 24,510 providers in Salt Lake City
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