Johnson, Kristen

Johnson, Kristen is an individual health care provider with primary practice located at 2115 North Kansas Avenue Children & Adolescent Clinic Pc, Hastings NE 68901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Kristen can be contacted via phone (402) 463-6828.

Contact Information

Primary practice address
2115 North Kansas Avenue Children & Adolescent Clinic Pc Hastings NE 68901
Phone: (402) 463-6828
Fax: (402) 463-4767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 20715 Nebraska

Profile Details

NPI number 1578548087
LBN Legal business name Johnson, Kristen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jan 19th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578548087 NPPES
Nebraska MEDICAID 47063717813
Nebraska Other 06158

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