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General NPI Number Information
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NPI Number | 1013059245
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Entity Type | Individual
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Provider Name | ROGENA KELLY JOHNSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 527 N GROVE ST
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City | WICHITA
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State | KS
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Zip | 67214-4520
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Country | US
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Telephone | 316-262-2415
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Fax | 316-264-4734
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Provider Business Mailing Address
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Address Line | 527 N GROVE ST
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City | WICHITA
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State | KS
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Zip | 67214-4520
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Country | US
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Telephone | 316-262-2415
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Fax | 316-264-4734
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME103318
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-32896
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License Number State | KS
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