| Mrs Tracy Katherine Bono-johnson, LPN | |
| 
					550 Pope Ave, Munson Army Health Center Attn Mcxn-cod Ms. Cotton, Fort Leavenworth, KS 66027-2332  | |
| (913) 684-6562 | |
| (913) 684-6208 | 
| Full Name | Mrs Tracy Katherine Bono-johnson | 
|---|---|
| Gender | Female | 
| Speciality | Licensed Practical Nurse | 
| Location | 550 Pope Ave, Fort Leavenworth, Kansas | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497951511 | NPI | - | NPPES | 
| 2006021076 | Other | MO | LPN IV CERTIFIED | 
| 24-35850-062 | Other | KS | LPN IV CERTIFIED | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 2006021076 (Missouri) | Secondary | 
| 164W00000X | Licensed Practical Nurse | 24-35850-062 (Kansas) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Tracy Katherine Bono-johnson, LPN 550 Pope Ave, Munson Army Health Center Attn Mcxn-cod Ms. Cotton, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6562  | Mrs Tracy Katherine Bono-johnson, LPN 550 Pope Ave, Munson Army Health Center Attn Mcxn-cod Ms. Cotton, Fort Leavenworth, KS 66027-2332 Ph: (913) 684-6562  | 
Mrs. Lilly Rose Johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6671  | |
Holly Denise Robinson,  Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208  | |
Mrs. Kristie Michelle Grenier, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6562 Fax: 913-684-6208  | |
Ms. Jennifer Marlene Diggs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-684-6562  | |
Mrs. Sherry Blakney-johnson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Avenue, United States Army Medical Department Activity, Fort Leavenworth, KS 66027 Phone: 999-999-9999  | |
Mr. Jacqueline Sue Perdue-dorathy, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027 Phone: 913-681-6170  | |
Jamie Lynn Kasten, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 505 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027 Phone: 913-684-6143 Fax: 913-684-6208  |