Kelsey Dawn Johnson, RN
Registered Nurse in Kissimmee, FL. Individual provider (NPI-1).
NPI number1508100652
StatusActive
Last updated in NPPESNov 15, 2012
Details
- NPI
- 1508100652
- Entity type
- Individual (NPI-1)
- Name
- Kelsey Dawn Johnson
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 15, 2012
- Last updated
- Nov 15, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN9348688 | FL | Yes |
Practice location
206 Park Place BlvdKissimmee, FL 34741-2344
Phone 407-846-0023 · Fax 407-483-1064
Mailing address
206 Park Place BlvdKissimmee, FL 34741-2344
Phone 407-846-0023 · Fax 407-483-1064
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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