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NPI Code Detail

MEDICARE: MCKENZIE JO JOHNSON SLP-CCC

MEDICARE: MCKENZIE JO JOHNSON SLP-CCC
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
1235Z00000XSpeech-Language Pathologist299865KY

General Provider Information

NPI Number : 1841177656
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKENZIE JO JOHNSON SLP-CCC
Provider Business Mailing Address
First Line : 9810 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-1906
Country : US
Telephone Number : 502-584-9781
Fax Number :
Provider Business Practice Location Address
First Line : 9810 BLUEGRASS PKWY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-1906
Country : US
Telephone Number : 502-584-9781
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2025
Last Update Date : 06/01/2026

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Directions to “ MCKENZIE JO JOHNSON SLP-CCC” Practice Location

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