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
Phone: (314) 226-8317
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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