Johnson, Kelley Marshall
Johnson, Kelley Marshall is an sole proprietor health care provider with primary practice located at 7795 Landowne Dr , Atlanta GA 30350-1063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Johnson, Kelley Marshall can be contacted via phone (770) 730-8535.Contact Information
Primary practice address
7795 Landowne Dr
Atlanta GA 30350-1063
Phone: (770) 730-8535
Fax: (770) 730-8535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 048372 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 48372 | Georgia |
Profile Details
| NPI number | 1962475582 |
|---|---|
| LBN Legal business name | Johnson, Kelley Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Apr 21st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962475582 | NPPES |
| Kentucky | Other | 7100044200 | KY MEDICAID-NORTON |
| Kentucky | Other | 000023033O | KY MEDICAID-NORTON |
| Kentucky | Other | 50019563 | KY MEDICAID-NORTON |
| Kentucky | Other | 000000568993 | KY MEDICAID-NORTON |
| Kentucky | Other | 00533044 | KY MEDICAID-NORTON |
| Kentucky | Other | 096946 | KY MEDICAID-NORTON |
| Kentucky | MEDICAID | 200928350 | KY MEDICAID-NORTON |
| Kentucky | MEDICAID | 000852893 | KY MEDICAID-NORTON |
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