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Contact Information

KIMBERLY D JOHNSON, MD
4820 EAST MAIN STREET
SJRMC URGENT CARE
FARMINGTON, NM87402
 Phone: 505-609-6495
 Fax: 505-609-6496
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KIMBERLY D JOHNSON · (Female)

NPI # 1316960032
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2006
Last updated 10/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 32573
  • NM License # MD2009-0511
  • CO Medicaid 01325737
  • NM Medicaid K5584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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