Individual provider · Type 1 NPI

La-Kenya Johnson

Driver · Moultrie, GA

NPI number 1346021045 Active

Practice location

148 Cook Rd
Moultrie, GA 31788-1475

Mailing address

162 Cook Rd Unit D
Moultrie, GA 31788-0948

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1346021045

La-Kenya Johnson's National Provider Identifier is 1346021045, issued on Oct 9, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Moultrie, GA. The record was last updated on Oct 9, 2023.