KATHLEEN NICOLE JOHNSON

JACKSON, MS
NPI1023869831
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208200000X Plastic Surgery
(Licence: MS  T-5493)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-29
Last Update Date2024-07-01
Business Address
KATHLEEN NICOLE JOHNSON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
KATHLEEN NICOLE JOHNSON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: