Johnson, Kelly
Johnson, Kelly is an individual health care provider with primary practice located at 2489 Diplomat Pkwy E , Cape Coral FL 33909-5422. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Johnson, Kelly can be contacted via phone (239) 652-1800.Contact Information
Primary practice address
2489 Diplomat Pkwy E
Cape Coral FL 33909-5422
Phone: (239) 652-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME139549 | Florida |
Profile Details
| NPI number | 1497165450 |
|---|---|
| LBN Legal business name | Johnson, Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2014 |
| Last updated | Sep 5th, 2023 - about last year |
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 | 1497165450 | NPPES |
| Florida | Other | ME139549 | DEPARTMENT OF HEALTH |
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