Search › Illinois › 363LF0000X
Kirsten Johanson
NPI 1770882219 · on the registry since 2011
Practice
- Address
- 400 S Center St
Durand, IL 61024 - Phone
- (815) 248-3443
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163W00000X
363L00000X
163W00000X
363L00000X
363LF0000X - Licence states on file
- WI, IL, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-08
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