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Samantha Johnson

Case Manager/Care Coordinator in Wichita, KS. Individual provider (NPI-1).

NPI number1154723922
StatusActive
Last updated in NPPESSep 23, 2014

Details

NPI
1154723922
Entity type
Individual (NPI-1)
Name
Samantha Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 23, 2014
Last updated
Sep 23, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

450 N 159th St E
Wichita, KS 67230-7704

Phone 316-440-1312 · Fax 316-440-1318

Mailing address

520 E Augusta Ave
Augusta, KS 67010-2100

Phone 316-775-5491 · Fax 316-775-5442

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