SearchTexas171W00000X

Kea Johnson

NPI 1861144438 · on the registry since 2022

Practice

Address
2714 S 2nd Ave
Dallas, TX 75210
Phone
(469) 720-3797

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-25

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 Texas