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Kerry Lynn Johnson, RDN

Dietitian, Registered in Fresno, CA. Individual provider (NPI-1).

NPI number1407623481
StatusActive
Last updated in NPPESDec 8, 2023

Details

NPI
1407623481
Entity type
Individual (NPI-1)
Name
Ms. Kerry Lynn Johnson
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 8, 2023
Certification date
Dec 8, 2023
Last updated
Dec 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered639580CAYes

Practice location

205 E River Park Cir Ste 460
Fresno, CA 93720-1585

Phone 559-261-4500

Mailing address

2727 W Bluff Ave Apt 112
Fresno, CA 93711-7012

Phone 559-960-3157

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