Johnson, Kiana Kimmjo
Johnson, Kiana Kimmjo is an sole proprietor health care provider with primary practice located at 18643 Jonesboro Ct , Lakeville MN 55044-6500. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Johnson, Kiana Kimmjo can be contacted via phone (612) 708-9043.Contact Information
Primary practice address
18643 Jonesboro Ct
Lakeville MN 55044-6500
Phone: (612) 708-9043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 305587 | Minnesota |
Profile Details
| NPI number | 1588203830 |
|---|---|
| LBN Legal business name | Johnson, Kiana Kimmjo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2020 |
| Last updated | Jan 4th, 2020 - about 6 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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