Kelley Lynn Johnson in Great Bend - Professional
Kelley Lynn Johnson - NPI 1639296759
Kelley Lynn Johnson is a Professional in Great Bend, Kansas. Kelley Lynn Johnson practices all healthcare services and medical treatments related to Professional. The NPI Number for Kelley Lynn Johnson is 1639296759. The last update date is 2014-01-10.
Kelley Lynn Johnson's current location address is 5634 Eisenhower Ave, Great Bend, Kansas. You can contact this provider via phone number 6207860311 and fax number 3037502678. The mailing address for Kelley Lynn Johnson is 5634 Eisenhower Ave, Great Bend, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelley Lynn Johnson |
|---|---|
| Address | 5634 Eisenhower Ave, Great Bend, Kansas |
| Phone Number | 6207860311 |
| Fax Number | 3037502678 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1639296759 |
|---|---|
| Provider Enumeration Date | 2007-03-23 |
| Last Updated Date | 2014-01-10 |
Provider Mailing Address Detail
| Address | 5634 Eisenhower Ave |
|---|---|
| City | Great Bend |
| State | Kansas (KS) |
| Post Code | 675306324 |
| Phone Number | 6207860311 |
| Fax Number | 3037502678 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
| Licence No | 753 |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100098090A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kelley Lynn Johnson by the Centers for Medicare & Medicaid Services?
The Kelley Lynn Johnson has been issued the NPI (National Provider Identifier) 1639296759, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kelley Lynn Johnson located?
The Kelley Lynn Johnson is located at 5634 Eisenhower Ave, Great Bend, KS 675306324.
What is the Kelley Lynn Johnson's area of specialization and corresponding taxonomy classification?
The Kelley Lynn Johnson's specialty field is Professional, and it falls under the taxonomy code 101Yp2500X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639296759 to Kelley Lynn Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1639296759 to Kelley Lynn Johnson on 2007-03-23.
As of what date were the details related to Kelley Lynn Johnson most recently updated or revised?
The information pertaining to Kelley Lynn Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2014-01-10.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI