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Katie Johnson
NPI 1093113763 · on the registry since 2014
Practice
- Address
- 4419 W Pecan St
Fayetteville, AR 72704 - Phone
- (870) 688-1308
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas