Kennedy, Kristi Nicole Johnson

Kennedy, Kristi Nicole Johnson is an individual health care provider with primary practice located at 48Th Medical Group, Raf Lakenheath Unit 5115, Apo AP 09461-5115. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Periodontics is her primary health care specialty. Kennedy, Kristi Nicole Johnson can be contacted via phone (314) 226-8317.

Contact Information

Primary practice address
48Th Medical Group, Raf Lakenheath Unit 5115 Apo AP 09461-5115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 29922 Texas
Dental Providers / Periodontics 1223P0300X 29922 Texas

Profile Details

NPI number 1376942573
LBN Legal business name Kennedy, Kristi Nicole Johnson
Credentials DDS, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated Aug 16th, 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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