Kaymie Marie Johnston, APRN
Nurse Practitioner, Family in Louisville, KY. Individual provider (NPI-1).
NPI number1679751069
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1679751069
- Entity type
- Individual (NPI-1)
- Name
- Kaymie Marie Johnston
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2008
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3012871 | KY | Yes |
| 363L00000X | Nurse Practitioner | 341165 | NY |
Practice location
501 E BroadwayLouisville, KY 40202-1785
Phone 502-852-6464
Mailing address
Po Box 909Louisville, KY 40201-0909
Phone 502-852-6464
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