Kimi Johnson, is a
Counselor based in Bear Valley, California. Kimi Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
325 Creekside Drive, Bear Valley, California. She can be reached at her office (for appointments etc.) via phone at
(209) 753-2348.
NPI number for Kimi Johnson is 1538530050 and her current mailing address is Po Box 5186, Bear Valley, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538530050.
Healthcare Provider's Profile
| Full Name | Kimi Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor |
|---|
| Location | 325 Creekside Drive, Bear Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538530050
- Provider Enumeration Date: 10/09/2015
- Last Update Date: 10/09/2015
Medical Identifiers
Medical identifiers for Kimi Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538530050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimi Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimi Johnson,
Po Box 5186,
Bear Valley, CA 95223-5186
Ph: () - | Kimi Johnson,
325 Creekside Drive,
Bear Valley, CA 95223-5186
Ph: (209) 753-2348 |
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