Johnston, Kelsey
Johnston, Kelsey is an sole proprietor health care provider with primary practice located at 4041 S Mcclintock Dr Ste 302 , Tempe AZ 85282-5879. She recently has only one registered license in Nursing Service Providers / Case Management, which is considered as her primary health care specialty. Johnston, Kelsey can be contacted via phone (520) 233-7111.Contact Information
Primary practice address
4041 S Mcclintock Dr Ste 302
Tempe AZ 85282-5879
Phone: (520) 233-7111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Case Management | 163WC0400X | 269407 | Arizona |
Profile Details
| NPI number | 1104549799 |
|---|---|
| LBN Legal business name | Johnston, Kelsey |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2022 |
| Last updated | Sep 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104549799 | NPPES |
| Arizona | MEDICAID | 1346678935 |
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