Kelly Lynn Johnson SLP

NPI 1790991842 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1790991842
Gender Female
Enumeration Date 05/15/2007
Last Updated 11/24/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
5606 S 147TH ST
OMAHA NE, 68137-2648, US
Phone (402) 715-8200
Fax
Business Location
5606 S 147TH ST
OMAHA NE, 68137-2648, US
Phone (402) 715-8200
Fax (402) 330-5970
Toxanomy
Taxonomy Code 235Z00000X
License State Nebraska
License Number 1190
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According to our database, Kelly Lynn Johnson SLP NPI is 1790991842, taxonomy code is 235Z00000X and license number is 1190, license state is located at Nebraska. Kelly Lynn Johnson SLP physically located at 5606 S 147th St, Omaha NE, 68137-2648. NPI Number Kelly Lynn Johnson SLP has the Individual type.

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1790991842 NPI number is provided on an as is basis without warranty of any kind. 1790991842 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Lynn Johnson SLP are for informational purposes only.