Individual provider · Type 1 NPI

Kelly Marie Johnson, M.S., ED. CFY-SLP

Student in an Organized Health Care Education/Training Program · Le Roy, NY

NPI number 1063812261 Active

Practice location

80 Munson St
Le Roy, NY 14482-8933

Mailing address

803 Urf Rd
Cowlesville, NY 14037-9777

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7 other providers at this address

About NPI 1063812261

Kelly Marie Johnson, M.S., ED. CFY-SLP's National Provider Identifier is 1063812261, issued on Aug 26, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Le Roy, NY. The record was last updated on Aug 26, 2014.