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General NPI Number Information
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NPI Number | 1245900505
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Entity Type | Organization
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Legal Business Name | KILEA L JOHNSON FNP, P.A.
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 1001 ORCHARD ST
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City | LONGVIEW
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State | TX
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Zip | 75605-5741
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Country | US
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Telephone | 254-485-2786
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Fax | 914-259-5348
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Provider Business Mailing Address
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Address Line | 1001 ORCHARD ST
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City | LONGVIEW
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State | TX
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Zip | 75605-5741
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Country | US
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Telephone | 254-485-2786
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Fax | 914-259-5348
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KILEA LANAY JOHNSON
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Credential | MSN, FNP-C
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Telephone | 254-485-2786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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