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1134683964
KELLY LYNN JOHNSTON
LOUISVILLE, KY
NPI
1134683964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3013074)
Enumeration Date
2019-01-25
Last Update Date
2024-08-30
Business Address
Ms. KELLY LYNN JOHNSTON APRN
4420 DIXIE HWY STE 126
LOUISVILLE, KY 40216-2994
Phone number: 502-810-3780
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Mailing Address
Ms. KELLY LYNN JOHNSTON APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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