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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

NPI # 1366516767
LBN Legal business name KIMBERLEY M JOHNSON DC
Authorized official KIMBERLEY JOHNSON - (CHIROPRACTOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 10/29/2007 - About 19 years ago
Identifiers
MN License # 3423
Other 02B15LA PIN 02B16J0 BCBS
Other 183022800 MA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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