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Kissy Johnson
NPI 1770191728 · on the registry since 2020 · sole proprietor
Practice
- Address
- 7045 Idlewild Ave
Jennings, MO 63136 - Phone
- (314) 737-1141
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Sex
- Female
- Record last updated
- 2020-07-15
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 Missouri