Individual provider · Type 1 NPI
Kim Y. Johnson, LPN
Licensed Practical Nurse · Syracuse, NY
NPI number
1609042787
Active
Practice location
2125 James St
Syracuse, NY 13206-3209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 254565-1 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1609042787
Kim Y. Johnson, LPN's National Provider Identifier is 1609042787, issued on May 7, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Aug 11, 2008.