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

DR. KIMBERLY JENINE JOHNSON, ED.D

Active Sole Proprietor

DR. KIMBERLY JENINE JOHNSON, ED.D is a Developmental Therapist healthcare provider located in DUNLAP, Illinois. NPI 1861251613 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · DUNLAP, IL

Registration Details

NPI Number
1861251613
Provider Type
Individual
Gender
Female
NPI Issued
Mar 14, 2024 (2.2390776779969 yrs)
Last Updated
Mar 14, 2024
Sole Proprietor
Yes

Practice Information

Address
11501 BALLYMORE
DUNLAP, IL, 615258713
Browse IL providers · Browse ZIP 61525
Phone
6304521620
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in DUNLAP, IL

Name Credential NPI
AMY E KORDONOWY 1710842265
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.