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Contact Information

KRISTEN E JOHNSTON, IDC
5502 MARVIN SHIELDS BLVD
GULFPORT, MS39501
 Phone: 228-822-5922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Independent Duty Corpsman

1710I1002X
Indicates primary specialty

NPI Profile & details for KRISTEN E JOHNSTON · (Female)

NPI # 1700469095
Status Active
Credentials IDC
Entity Individual
Enumeration date 05/04/2021
Last updated 12/02/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 1700469095
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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