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Search › Missouri › 183500000X

Kenyatta Johnson

NPI 1912734716 · on the registry since 2024

Practice

Address
1717 Biddle St
Saint Louis, MO 63106
Phone
(314) 814-8601
Organisation at this address
Affinia Healthcare
Affinia Healthcare
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-16

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