Most Relevant Information
Provider Data
| NPI Number: | 1003255688 |
| Provider Name: | CARRI A JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2013 |
| Last Updated: | 06/18/2013 |
Provider Practice Location
44 BATTER RD
PINE KNOT
KY
426359168
Practice Location Phone/Fax
| Phone: | 6063542582 |
| Fax: |
Provider Mailing Location
259 PARKERS MILL RD
SOMERSET
KY
425013152
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |