Johnson, Jon Kelly
Johnson, Jon Kelly is an sole proprietor health care provider with primary practice located at 100 E High St , Mt Sterling KY 40353-1214. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Johnson, Jon Kelly can be contacted via phone (859) 498-7130.Contact Information
Primary practice address
100 E High St
Mt Sterling KY 40353-1214
Phone: (859) 498-7130
Fax: (859) 498-7138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 7057 | Kentucky |
Profile Details
| NPI number | 1760765770 |
|---|---|
| LBN Legal business name | Johnson, Jon Kelly |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2011 |
| Last updated | Sep 26th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760765770 | NPPES |
| Kentucky | MEDICAID | 60070570 |
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