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NPI Code Detail

MEDICARE: KAMRYN JOHNSON

MEDICARE: KAMRYN JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist6568OK

General Provider Information

NPI Number : 1083463087
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMRYN JOHNSON
Provider Business Mailing Address
First Line : 11500 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-4625
Country : US
Telephone Number : 405-548-4300
Fax Number : 405-548-4350
Provider Business Practice Location Address
First Line : 8125 E 101ST ST STE 50
Second Line :
City : TULSA
State : OK
Zip : 74133-7245
Country : US
Telephone Number : 918-392-7600
Fax Number : 405-548-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2024
Last Update Date : 01/23/2026

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Directions to “ KAMRYN JOHNSON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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