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General NPI Number Information
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NPI Number | 1336838424
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Entity Type | Individual
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Provider Name | KELLY MAY JOHNSON NP
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 3800 STEVE SMITH WAY
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City | CROSS ROADS
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State | TX
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Zip | 76227-3668
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Country | US
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Telephone | 940-365-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 6800 FORT PARKER WAY
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City | MCKINNEY
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State | TX
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Zip | 75071-7176
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Country | US
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Telephone | 720-351-2596
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1210725
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License Number State | TX
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