Johnson, Kathleen C.

Johnson, Kathleen C. is an individual health care provider with primary practice located at 330 E Hibiscus Blvd , Melbourne FL 32901-3155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Johnson, Kathleen C. can be contacted via phone (321) 724-2229.

Contact Information

Primary practice address
330 E Hibiscus Blvd Melbourne FL 32901-3155
Phone: (321) 724-2229
Fax: (321) 728-6668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP1949352 Florida

Profile Details

NPI number 1811010796
LBN Legal business name Johnson, Kathleen C.
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2007
Last updated Aug 17th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811010796 NPPES
Florida MEDICAID 012338500

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