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Contact Information

KIMBERLEY M JOHNSON DC
12814 LAKE BOULEVARD
LINDSTROM, MN55045
 Phone: 651-257-3900
 Fax: 651-257-3932
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for KIMBERLEY M JOHNSON DC · (Female)

NPI # 1366516767
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2006
Last updated 10/29/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 3423
  • Other 02B15LA PIN 02B16J0 BCBS
  • Other 183022800 MA
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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