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Contact Information

KENYA JOHNSON
652 FAIRFIELD CIR
RAEFORD, NC28376-6714
 Phone: 910-635-4448
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Homemaker

376J00000X
 

Home Health Aide

374U00000X
Indicates primary specialty

NPI Profile & details for KENYA JOHNSON · (Female)

NPI # 1366024804
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2021
Last updated 04/24/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NC Medicaid 851765661
  • NC Other 851765661 NON-SKILLED
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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