T Kelly Johnson in Madison - Addiction (substance Use Disorder)
T Kelly Johnson - NPI 1568537058
T Kelly Johnson is a Addiction (substance Use Disorder) in Madison, South Dakota. T Kelly Johnson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for T Kelly Johnson is 1568537058. The last update date is 2015-04-14.
T Kelly Johnson's current location address is 726 S Washington Ave, Madison, South Dakota. You can contact this provider via phone number 6052700347. The mailing address for T Kelly Johnson is 726 S Washington Ave, Madison, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | T Kelly Johnson |
|---|---|
| Address | 726 S Washington Ave, Madison, South Dakota |
| Phone Number | 6052700347 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LAC |
NPI Number Detail
| NPI Number | 1568537058 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2015-04-14 |
Provider Mailing Address Detail
| Address | 726 S Washington Ave |
|---|---|
| City | Madison |
| State | South Dakota (SD) |
| Post Code | 570423519 |
| Phone Number | 6052700347 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to T Kelly Johnson by the Centers for Medicare & Medicaid Services?
The T Kelly Johnson has been issued the NPI (National Provider Identifier) 1568537058 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where T Kelly Johnson's facilities are situated?
The facilities of T Kelly Johnson are physically located at the following address: 726 S Washington Ave, Madison, SD, 570423519.
What is T Kelly Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The T Kelly Johnson's specialized field of practice is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of specialization is 101Ya0400X.
On what date did the T Kelly Johnson receive its 1568537058 assignment from the Centers for Medicare & Medicaid Services?
The T Kelly Johnson was assigned its 1568537058 by the Centers for Medicare & Medicaid Services on 2006-11-21.
When was the information pertaining to T Kelly Johnson most recently updated or revised?
The details related to T Kelly Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-14.
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