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KELLY A JOHNSON, DDS – NPI #1962763193
Oral & Maxillofacial Surgery

NPI Profile for KELLY A JOHNSON in WICHITA, KS.

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Contact Information

KELLY A JOHNSON, DDS
2020 N WEBB RD STE 301
WICHITA, KS  67206-3410
 Phone: 316-687-2110
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

 204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KELLY A JOHNSON · (Female)

NPI # 1962763193
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/05/2012
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KS License # KS60821
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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