Individual provider · Type 1 NPI
Kelly Marie Johnson
Student in an Organized Health Care Education/Training Program · Frederick, MD
NPI number
1891253597
Active
Practice location
1472 Mobley Ct
Frederick, MD 21701-9113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
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About NPI 1891253597
Kelly Marie Johnson's National Provider Identifier is 1891253597, issued on Mar 12, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Frederick, MD. The record was last updated on Mar 12, 2019.