Individual provider · Type 1 NPI

Kalis Raquel Johnson

Student in an Organized Health Care Education/Training Program · Atlanta, GA

NPI number 1265348734 Active

Practice location

720 Westview Dr SW
Atlanta, GA 30310-1458

Call (404) 752-1500 Map

Mailing address

2324 Ivey Springs Trl
Stone Mountain, GA 30087-2759

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.

984 other providers at this address

Other student in an organized health care education/training program providers in Atlanta

See all in Atlanta →

About NPI 1265348734

Kalis Raquel Johnson's National Provider Identifier is 1265348734, issued on Aug 24, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Atlanta, GA. The record was last updated on Aug 24, 2026.