SearchNew York164W00000X

Kim Johnson, LPN

NPI 1609042787 · on the registry since 2008 · sole proprietor

Practice

Address
2125 James St
Syracuse, NY 13206
Phone
(315) 432-0039

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-08-11

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 New York