Johnson, Kerry Lee

Johnson, Kerry Lee is an individual health care provider with primary practice located at 14859 Energy Way , Apple Valley MN 55124-5763. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Johnson, Kerry Lee can be contacted via phone (952) 432-3333.

Contact Information

Primary practice address
14859 Energy Way Apple Valley MN 55124-5763
Phone: (952) 432-3333
Fax: (952) 432-4444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2241 Minnesota

Profile Details

NPI number 1578640694
LBN Legal business name Johnson, Kerry Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578640694 NPPES
Minnesota Other 24165JO BCBS MN ID NUMBER

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