Search › California › 163WM0102X
Kennedy Johnson
NPI 1346075363 · on the registry since 2024 · sole proprietor
Practice
- Address
- 14596 Guadalupe Dr
Rancho Murieta, CA 95683 - Phone
- (916) 616-7281
Registry record
- Primary taxonomy
- 163WM0102X
163WM0102X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-09
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 California