Johnson, Kody

Johnson, Kody is an individual health care provider with primary practice located at 1604 C. North Main St , Mountain Grove MO 65704-6570. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnson, Kody can be contacted via phone (417) 926-1713.

Contact Information

Primary practice address
1604 C. North Main St Mountain Grove MO 65704-6570
Phone: (417) 926-1713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2021021292 Missouri

Profile Details

NPI number 1710559018
LBN Legal business name Johnson, Kody
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2021
Last updated Jul 15th, 2021 - about 3 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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