Individual provider · Type 1 NPI
Kimberly Johnson
Driver · Southaven, MS
NPI number
1750866992
Active
Practice location
3030 Marcia Louise Dr
Southaven, MS 38672-6750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Southaven
About NPI 1750866992
Kimberly Johnson's National Provider Identifier is 1750866992, issued on Oct 2, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Southaven, MS. The record was last updated on Oct 2, 2018.