Johnson, Kellie Suzanne

Johnson, Kellie Suzanne is an individual health care provider with primary practice located at 2221 9Th St Sw , Canton OH 44706-1464. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Johnson, Kellie Suzanne can be contacted via phone (330) 455-3663.

Contact Information

Primary practice address
2221 9Th St Sw Canton OH 44706-1464
Phone: (330) 455-3663
Fax: (330) 455-5355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35063302J Ohio

Profile Details

NPI number 1447307632
LBN Legal business name Johnson, Kellie Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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.

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