Johnson, Diane Mckinney

Johnson, Diane Mckinney is an sole proprietor health care provider with primary practice located at 118 E Sunbridge Dr , Fayetteville AR 72703-2830. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Johnson, Diane Mckinney can be contacted via phone (479) 444-1400.

Contact Information

Primary practice address
118 E Sunbridge Dr Fayetteville AR 72703-2830
Phone: (479) 444-1400
Fax: (479) 444-1422
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 0139 Arkansas

Profile Details

NPI number 1215192505
LBN Legal business name Johnson, Diane Mckinney
Credentials M.S.R.D.L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2008
Last updated Jul 25th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers