Johnson, Kenneth Dewayne

Johnson, Kenneth Dewayne is an individual health care provider with primary practice located at 2501 W 22Nd St , Sioux Falls SD 57105-1305. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Johnson, Kenneth Dewayne can be contacted via phone (605) 336-3230.

Contact Information

Primary practice address
2501 W 22Nd St Sioux Falls SD 57105-1305
Phone: (605) 336-3230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 0003 South Dakota

Profile Details

NPI number 1447286216
LBN Legal business name Johnson, Kenneth Dewayne
Credentials R.D., L.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
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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