Kea Johnson

Contractor · Dallas, TX

Individual Active NPI

NPI number 1861144438

Practice location

2714 S 2ND Ave
Dallas, TX 75210-2090
Phone
(469) 720-3797

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NPI record

NPI
1861144438
Entity type
Individual (Type 1)
Enumeration date
January 25, 2022
Last updated
January 25, 2022
Certified
January 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X 45D2249010 TX

Mailing address

PO Box 2852
Rowlett, TX 75030-2852
Phone
(469) 720-3797

About Kea Johnson

Kea Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 2714 S 2ND Ave, Dallas, TX 75210-2090. The NPI number 1861144438 was assigned on January 25, 2022 and the record was last updated on January 25, 2022.

Kea Johnson lists a license in the registry: #45D2249010 (TX) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kea Johnson?

The NPI number is 1861144438.

What is the phone number of Kea Johnson?

The phone number listed for the practice location is (469) 720-3797.

Where is Kea Johnson located?

2714 S 2ND Ave, Dallas, TX 75210-2090.

What is the taxonomy code for Kea Johnson?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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