Kendyll Johnson
Registered Nurse, Gerontology in Maumee, OH. Individual provider (NPI-1).
NPI number1477289544
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1477289544
- Entity type
- Individual (NPI-1)
- Name
- Kendyll Johnson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2022
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0600X | Registered Nurse, Gerontology | 471468 | OH | Yes |
Practice location
402 W William StMaumee, OH 43537-2071
Phone 419-306-7955
Mailing address
402 W William StMaumee, OH 43537-2071
Phone 419-306-7955
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