MEDICARE: KIA 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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1447507025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIA JOHNSON

Provider Business Mailing Address
First Line	:	5800 SE 87TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6078
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 SE 87TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73135-6078
Country	:	US
Telephone Number	:	405-455-6911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

Similar Medicare Providers

1013744085 — SAMILYA EVANS
Practice Location Address:

5812 SE 87TH ST
OKLAHOMA CITY, OK
73135-6078

Practice Phone: 618-960-0272
Practice Fax:

1023386380 — CAREMAX INC.
Practice Location Address:

13100 BRIGHT PRAIRIE CIR
OKLAHOMA CITY, OK
73142-6078

Practice Phone: 405-474-7364
Practice Fax: 405-470-8367

1548243645 — DR. KELLY H WOODWARD I D.O., M.P.H.
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax: 971-397-0394

1942524566 — AUTUMN BEAR L.AC
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax: 971-397-0394

1720364771 — ELISABETH NICHOLE DREYER L.AC.
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 970-618-4788
Practice Fax:

1841614625 — AUTUMN BEAR ACUPUNCTURE PLLC
Practice Location Address:

5532 LILLEHAMMER LN STE 102
PARK CITY, UT
84098-6078

Practice Phone: 435-659-7633
Practice Fax:

Directions to “ KIA 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.