Search › Ohio › 171M00000X
Kelly Johnson
NPI 1578426920 · on the registry since 2025 · sole proprietor
Practice
- Address
- 19051 Woodward Rd
Fayetteville, OH 45118 - Phone
- (513) 706-3306
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 175T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-02
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 Ohio