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NPI Code Detail

MEDICARE: KIMBERLY A JOHNSON LSW

MEDICARE: KIMBERLY A JOHNSON LSW
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
1104100000XSocial WorkerS.1903319OH

General Provider Information

NPI Number : 1093344160
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY A JOHNSON LSW
Provider Business Mailing Address
First Line : 3241 SOVEREIGN DR APT 11
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-3101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1019 LINN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45203-1314
Country : US
Telephone Number : 513-233-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 04/02/2020

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Directions to “ KIMBERLY A JOHNSON LSW” Practice Location

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