Johnson, Kelly James
Johnson, Kelly James is an individual health care provider with primary practice located at 1 Jarrett White Rd , Tripler Army Medical Center HI 96859-5001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Johnson, Kelly James can be contacted via phone (808) 655-8825.Contact Information
Primary practice address
1 Jarrett White Rd
Tripler Army Medical Center HI 96859-5001
Phone: (808) 655-8825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5336421-9922 | Utah |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 5336421-9922 | Utah |
Profile Details
| NPI number | 1891706529 |
|---|---|
| LBN Legal business name | Johnson, Kelly James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Feb 28th, 2023 - about 3 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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