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Traci Johnson
NPI 1457991358 · on the registry since 2020
Practice
- Address
- 5607 W 75th Ter
Prairie Village, KS 66208 - Phone
- (913) 957-0623
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YS0200X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-16
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 Kansas