KEALY JOHNSON NPI 1306643663

NPI Information

  • NPI: 1306643663
  • Provider Name: KEALY JOHNSON
  • Classification: Technician - 3747P1801X
  • Specialization: Personal Care Attendant
  • Entity Type: Individual
  • Address: 13876 KELLY DR
    BAXTER, MN
    ZIP 56425
  • Phone: (218) 821-5651

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NPI Details

Kealy Johnson is a personal care attendant technician in Baxter, MN. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards Kealy Johnson NPI is 1306643663. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13876 KELLY DR
BAXTER, MN
ZIP 56425-422
Phone: (218) 821-5651

The enumeration date for this NPI number is 2/25/2025 and was last updated on 2/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13747P1801XTechnicianPersonal Care AttendantYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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