Kathryn Johnson in Orlando - Clinic/center

Kathryn Johnson - NPI 1114005667

Kathryn Johnson is a Clinic/center in Orlando, Florida. Kathryn Johnson practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Kathryn Johnson is 1114005667. The last update date is 2020-08-22.

Kathryn Johnson's current location address is 5655 S Orange Ave, Orlando, Florida. You can contact this provider via phone number 4078954100 and fax number 4074224492. The mailing address for Kathryn Johnson is 5655 S Orange Ave, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kathryn Johnson
Address 5655 S Orange Ave, Orlando, Florida
Phone Number 4078954100
Fax Number 4074224492
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOSOCI
Authorized Official Name Johnson Kathryn
Credentials LCSW
Telephone Number 3529884181

NPI Number Detail

NPI Number 1114005667
Provider Enumeration Date 2006-11-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5655 S Orange Ave
City Orlando
State Florida (FL)
Post Code 328094289
Phone Number 4078954100
Fax Number 4074224492

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SW 6550 FL SOCIAL WORK LICENSE

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FAQs about Kathryn Johnson

What is the unique 10-digit identifier code issued to Kathryn Johnson by the Centers for Medicare & Medicaid Services?

The Kathryn Johnson has been assigned the NPI (National Provider Identifier) 1114005667 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kathryn Johnson's facilities are situated?

The facilities of Kathryn Johnson are physically located at the following address: 5655 S Orange Ave, Orlando, FL, 328094289.

What is Kathryn Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kathryn Johnson is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.

On what date was the 1114005667 assigned to Kathryn Johnson?

The Kathryn Johnson was issued its 1114005667 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The details related to Kathryn Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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