Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEONDRA C JOHNSON
Active Sole ProprietorICF/Individuals with Intellectual Disabilities · DALLAS, TX
Registration Details
- NPI Number
- 1578179750
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2020 (5.5803541167868 yrs)
- Last Updated
- Sep 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
2140 MEDICAL DISTRICT DR APT 2052DALLAS, TX, 752358097Browse TX providers · Browse ZIP 75235
- Phone
- 2146954955
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
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.