Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KADEEM DAVID JOHNSON
Active Sole ProprietorKADEEM DAVID JOHNSON is a Skilled Nursing Facility healthcare provider located in WALLINGFORD, Connecticut. NPI 1194286005 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · WALLINGFORD, CT
Registration Details
- NPI Number
- 1194286005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2019 (7.3427461258028 yrs)
- Last Updated
- Jul 10, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 MARK DRIVEWALLINGFORD, CT, 06492Browse CT providers · Browse ZIP 06492
- Phone
- 2032650981
- Primary Specialty
-
Skilled Nursing Facility
314000000X
- Additional Specialty
- Skilled Nursing Facility
Other Skilled Nursing Facility Providers in WALLINGFORD, CT
| Name | Credential | NPI |
|---|---|---|
| SOHEILA DICKERSON | — | 1386896157 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.