Kelly Johnston

NPI 1396195368 · on the registry since 2016 · sole proprietor

Practice

Address: 16 Black Water Way
Ormond Beach, FL 32174
Phone: (386) 871-0428
Fax: (386) 673-9569
Organisation at this address: Pediatric Therapy Of Ormond, Llc
Pediatric Therapy Of Ormond, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-06-20

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 Florida