Johnson, Kelly Rene

Johnson, Kelly Rene is an individual health care provider with primary practice located at 727 S. State Street , Ukiah CA 95482. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Johnson, Kelly Rene can be contacted via phone (707) 467-5828.

Contact Information

Primary practice address
727 S. State Street Ukiah CA 95482
Phone: (707) 467-5828
Fax: (707) 463-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1841489903
LBN Legal business name Johnson, Kelly Rene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2007
Last updated Feb 17th, 2014 - about 10 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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