DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. COREY DEWITE JOHNSON SR., DIETARY MANAGER

Active Sole Proprietor

MR. COREY DEWITE JOHNSON SR., DIETARY MANAGER is a Driver healthcare provider located in KANSAS CITY, Missouri. NPI 1740029792 is currently active in the NPPES registry. Verify at CMS.

Driver · KANSAS CITY, MO

Registration Details

NPI Number
1740029792
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2024 (2.2108624387025 yrs)
Last Updated
May 20, 2024
License
J125035005 (MO)
Sole Proprietor
Yes

Practice Information

Address
3442 WABASH AVE
KANSAS CITY, MO, 641092539
Browse MO providers · Browse ZIP 64109
Phone
8162150334
Primary Specialty
Driver
172A00000X

Other Driver Providers in KANSAS CITY, MO

Name Credential NPI
LIDIYA SARKISYANTS 1538584685
TATYANA UGLOVA 1013474170
JOSEPH BALCHA 1275177966
ANNIE LAGUERRE 1356948558
DAMIEN A PAYTON 1790401115
KIMBERLY LASHAY REED-COLE 1598443459
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.