Search › Illinois › 222Q00000X
Kenyana Johnson, DEVELOPMENTAL THERAP
NPI 1710202361 · on the registry since 2010 · sole proprietor
Practice
- Address
- 12620 S Wood St
Calumet Park, IL 60827 - Phone
- (708) 955-4509
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-04-06
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 Illinois