SearchWisconsin2255A2300X

Kaela Johnson

NPI 1659903466 · on the registry since 2020 · sole proprietor

Practice

Address
1641 Blake Ave
South Milwaukee, WI 53172
Phone
(414) 216-1546

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Sex
Female
Record last updated
2020-02-10

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