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KIMBERLEY M JOHNSON DC NPI 1366516767


NPI Information

NPI: 1366516767
Provider Name: KIMBERLEY M JOHNSON DC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
12814 LAKE BOULEVARD
LINDSTROM, MN
ZIP 55045
Phone: (651) 257-3900
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KIMBERLEY M JOHNSON DC is a chiropractor in Lindstrom, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. KIMBERLEY M JOHNSON DC NPI is 1366516767. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12814 LAKE BOULEVARD
LINDSTROM, MN
ZIP 55045
Phone: (651) 257-3900
Fax: (651) 257-3932

The provider's authorized official is Kimberley M Johnson .
The authorized official title is Chiropractor Owner and has the following contact phone number (651) 257-3900.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 10/29/2007.


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
1111N00000XChiropractor3423MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102B15LA PIN 02B16J0OTHERBCBS
2183022800OTHERMA
3350002146MEDICARE ID-TYPE UNSPECIFIED

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: 5/5/2024

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