Johnson, Kenneth M

Johnson, Kenneth M is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Ft Meade MD 20755-5800. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Johnson, Kenneth M can be contacted via phone (301) 677-8394.

Contact Information

Primary practice address
2480 Llewellyn Ave Ft Meade MD 20755-5800
Phone: (301) 677-8394
Fax: (301) 677-8876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LP24559 Maryland

Profile Details

NPI number 1497746549
LBN Legal business name Johnson, Kenneth M
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1497746549 NPPES
Maryland Other LP24559 LICENSED PRACTICAL NURSE

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