NPI 1013707835
Keaton Earl Johnson
Practice location
- Address
- 117 N Union St Suite 1 PO Box 645, Ponca, NE 68770-0645
- Phone
- (402) 508-2999
- Fax
- (402) 755-2387
- Mailing address
- PO Box 645, Ponca, NE 68770-0645
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1013707835
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 May 2025
- Record last updated
- 7 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.