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Kenyatta Johnson
NPI 1316764863 · on the registry since 2024 · sole proprietor
Practice
- Address
- 254a Lake Ave
Staten Island, NY 10303 - Phone
- (718) 502-7608
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-25
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 New York