Johnson, Kenyana T

Johnson, Kenyana T is an sole proprietor health care provider with primary practice located at 12620 S Wood St , Calumet Park IL 60827-5916. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Johnson, Kenyana T can be contacted via phone (708) 955-4509.

Contact Information

Primary practice address
12620 S Wood St Calumet Park IL 60827-5916
Phone: (708) 955-4509
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois

Profile Details

NPI number 1710202361
LBN Legal business name Johnson, Kenyana T
Credentials DEVELOPMENTAL THERAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2010
Last updated Apr 6th, 2010 - about 14 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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