Johnson, Kelly Jo
Johnson, Kelly Jo is an sole proprietor health care provider with primary practice located at 5140 Country Side Court , Zanesville OH 43701. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Johnson, Kelly Jo can be contacted via phone (740) 982-2358.Contact Information
Primary practice address
5140 Country Side Court
Zanesville OH 43701
Phone: (740) 982-2358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 111333 | Ohio |
Profile Details
| NPI number | 1487875050 |
|---|---|
| LBN Legal business name | Johnson, Kelly Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1487875050 | NPPES |
| Ohio | MEDICAID | 2357873 |
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