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

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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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.