Search › Wisconsin › 103TA0700X
Keyonta Johnson- Sims
NPI 1417749755 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1871 Wallace Lake Rd
West Bend, WI 53090 - Phone
- (414) 915-1531
Registry record
- Primary taxonomy
- 103TA0700X
103TA0700X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-21
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 Wisconsin