Kelly Renee Johnson in Post Falls - Pediatrics

Kelly Renee Johnson - NPI 1760501993

Kelly Renee Johnson is a Pediatrics in Post Falls, Idaho. Kelly Renee Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Renee Johnson is 1760501993. The last update date is 2008-07-31.

Kelly Renee Johnson's current location address is 2422 Partridge Loop, Post Falls, Idaho. You can contact this provider via phone number 2088199363. The mailing address for Kelly Renee Johnson is 2422 Partridge Loop, Post Falls, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Renee Johnson
Address 2422 Partridge Loop, Post Falls, Idaho
Phone Number 2088199363
Fax Number
Sole Proprietor N
Credentials MAOTRL

NPI Number Detail

NPI Number 1760501993
Provider Enumeration Date 2007-03-28
Last Updated Date 2008-07-31

Provider Mailing Address Detail

Address 2422 Partridge Loop
City Post Falls
State Idaho (ID)
Post Code 838544944
Phone Number 2088199363
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Licence No OT-840
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5834280 SD --

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FAQs about Kelly Renee Johnson

What is the unique 10-digit identification code assigned to Kelly Renee Johnson by the Centers for Medicare & Medicaid Services?

The Kelly Renee Johnson has been issued the NPI (National Provider Identifier) 1760501993, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Kelly Renee Johnson is located?

The Kelly Renee Johnson is situated at the following address: 2422 Partridge Loop, Post Falls, ID, 838544944.

What is Kelly Renee Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kelly Renee Johnson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1760501993 to Kelly Renee Johnson?

The Kelly Renee Johnson received its 1760501993 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.

When was the information pertaining to Kelly Renee Johnson most recently updated or revised?

The details related to Kelly Renee Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-31.

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