NPI 1295157600

Corey Johnson

Practitioner Medical Technologist Wichita, KS

Practice location

Address: 2716 W Central Ave, Wichita, KS 67203-4904
Phone: (316) 660-7300
Mailing address: 635 N Main St, Wichita, KS 67203-3602

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X Licence 25367290 (KS)

Other Specialist/Technologist, Pathology providers in Kansas →

Registry record

NPI: 1295157600
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jan 2014
Record last updated: 21 Jan 2014

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.