Johnson, Kimberly Ann
Johnson, Kimberly Ann is an individual health care provider with primary practice located at 4899 Miller Trunk Hwy Ste 208 , Hermantown MN 55811-1582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Kimberly Ann can be contacted via phone (218) 727-3888.Contact Information
Primary practice address
4899 Miller Trunk Hwy Ste 208
Hermantown MN 55811-1582
Phone: (218) 727-3888
Fax: (218) 260-4772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 1510 | Minnesota |
Profile Details
| NPI number | 1295014520 |
|---|---|
| LBN Legal business name | Johnson, Kimberly Ann |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2011 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295014520 | NPPES |
| Minnesota | MEDICAID | 1295014520 | |
| Minnesota | MEDICAID | 1295014520 |
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