Johnson, Kendra Rose

Johnson, Kendra Rose is an individual health care provider with primary practice located at 3525 Monterey Dr , St Louis Park MN 55416-5275. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Kendra Rose can be contacted via phone (952) 993-6200.

Contact Information

Primary practice address
3525 Monterey Dr St Louis Park MN 55416-5275
Phone: (952) 993-6200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1467014043
LBN Legal business name Johnson, Kendra Rose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2019
Last updated Jul 3rd, 2019 - about 5 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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