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Contact Information

KENDALLYN JOHNSON
5115 HAMPTON BLVD
NORFOLK, VA23529-5000
 Phone: 757-683-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENDALLYN JOHNSON · (Female)

NPI # 1790424760
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2022
Last updated 05/29/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 390200000X
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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