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

MARY JOHNSON

Active Sole Proprietor

MARY JOHNSON is a Podiatric Surgery healthcare provider located in KENNEWICK, Washington. NPI 1851938385 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · KENNEWICK, WA

Registration Details

NPI Number
1851938385
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2019 (6.7226763913115 yrs)
Last Updated
Dec 3, 2019
Sole Proprietor
Yes

Practice Information

Address
2917 W 19TH AVE TRLR 79
KENNEWICK, WA, 993372307
Browse WA providers · Browse ZIP 99337
Phone
5094051084
Primary Specialty
Podiatric Surgery
3747A0650X
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.