NPI 1144033861

Kimberly Johnson

Practitioner Contractor Baton Rouge, LA

Practice location

Address: 9258 Sunrise Dr, Baton Rouge, LA 70811-2600
Phone: (225) 401-8831

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 007341858 (LA)

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Registry record

NPI: 1144033861
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2025
Record last updated: 28 Jan 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.