Johnson, Kelsey Diane

Johnson, Kelsey Diane is an individual health care provider with primary practice located at 1317 N Main St , Beaver Dam KY 42320-8957. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Johnson, Kelsey Diane can be contacted via phone (270) 274-5121.

Contact Information

Primary practice address
1317 N Main St Beaver Dam KY 42320-8957
Phone: (270) 274-5121
Fax: (270) 274-5122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9595 Kentucky
Dental Providers / General Practice 1223G0001X 9595 Kentucky

Profile Details

NPI number 1891179966
LBN Legal business name Johnson, Kelsey Diane
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated May 17th, 2019 - about 6 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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