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NPI Code Detail

MEDICARE: KELLEY CHRISTINE JOHNSON

MEDICARE: KELLEY CHRISTINE 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
1207V00000XObstetrics & Gynecology Physician750740TX

General Provider Information

NPI Number : 1477485779
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLEY CHRISTINE JOHNSON
Provider Business Mailing Address
First Line : 6133 ENNIS JOSLIN RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-2882
Country : US
Telephone Number : 361-728-9933
Fax Number :
Provider Business Practice Location Address
First Line : 6133 ENNIS JOSLIN RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78412-2882
Country : US
Telephone Number : 361-728-9933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ KELLEY CHRISTINE JOHNSON ” Practice Location

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