Johnson, Fred Kendall

Johnson, Fred Kendall is an individual health care provider with primary practice located at 325 Mdg 340 Magnolia Circle , Tyndall Afb FL 32403. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Johnson, Fred Kendall can be contacted via phone (850) 283-7019.

Contact Information

Primary practice address
325 Mdg 340 Magnolia Circle Tyndall Afb FL 32403
Phone: (850) 283-7019
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 029708 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT25177 Florida

Profile Details

NPI number 1689826554
LBN Legal business name Johnson, Fred Kendall
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2008
Last updated Jul 22nd, 2021 - about 4 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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