Johnson, Kimberly Susan

Johnson, Kimberly Susan is an individual health care provider with primary practice located at 340 Magnolia Circle , Tyndall Afb FL 32403-5612. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Kimberly Susan can be contacted via phone (850) 283-7678.

Contact Information

Primary practice address
340 Magnolia Circle Tyndall Afb FL 32403-5612
Phone: (850) 283-7678
Fax: (850) 283-7620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 024311 Louisiana

Profile Details

NPI number 1285600437
LBN Legal business name Johnson, Kimberly Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
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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