Search › North Carolina › 171M00000X
Ketty Johnson
NPI 1386127041 · on the registry since 2018
Practice
- Address
- 1016 Euclid Ave
Charlotte, NC 28203 - Phone
- (704) 807-5699
- Fax
- (704) 631-4574
- Organisation at this address
- Kinetic Kids, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-09-10
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 North Carolina