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

KISSY L JOHNSON

Active Sole Proprietor

KISSY L JOHNSON is a Home Health healthcare provider located in JENNINGS, Missouri. NPI 1770191728 is currently active in the NPPES registry. Verify at CMS.

Home Health · JENNINGS, MO

Registration Details

NPI Number
1770191728
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2020 (6.0726613876133 yrs)
Last Updated
Jul 15, 2020
Sole Proprietor
Yes

Practice Information

Address
7045 IDLEWILD AVE
JENNINGS, MO, 631361040
Browse MO providers · Browse ZIP 63136
Phone
3147371141
Primary Specialty
Home Health
251E00000X
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.