Johnson, Kimberly

Johnson, Kimberly is an sole proprietor health care provider with primary practice located at 445 Broadhollow Rd Ste 25 , Melville NY 11747-3645. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Johnson, Kimberly can be contacted via phone (631) 223-8852.

Contact Information

Primary practice address
445 Broadhollow Rd Ste 25 Melville NY 11747-3645
Phone: (631) 223-8852
Fax: (631) 350-0331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 321125 North Carolina
Nursing Service Providers / Registered Nurse 163W00000X 655384 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X 661348 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 310859 New York

Profile Details

NPI number 1295197523
LBN Legal business name Johnson, Kimberly
Credentials RN, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2016
Last updated Nov 13th, 2025 - about last year

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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