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Kimenita Johnson, INDIVIDUAL PROVIDER

NPI 1962663450 · on the registry since 2008 · sole proprietor

Practice

Address
14961 Tyler St
Miami, FL 33176
Phone
(786) 486-6855
Fax
(305) 688-1415

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-18

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 Florida