Individual provider · Type 1 NPI
Kelly Underberg Johnson, CNP
Family Nurse Practitioner · Duluth, MN
NPI number
1114157625
Active
Practice location
400 E 3rd St, Smdc Medical Center-Duluth Clinic
Duluth, MN 55805-1951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R 114150-2 (MN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114157625
Kelly Underberg Johnson, CNP's National Provider Identifier is 1114157625, issued on Jul 17, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Duluth, MN. The record was last updated on Jun 20, 2011.