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Mr. Kenneth M Johnson, LPN
Licensed Practical Nurse in Ft Meade, Maryland
NPI 1497746549

Kenneth M Johnson is a Licensed Practical Nurse based in Laurel, MD. Kenneth M Johnson practices in Ft Meade, MD and has the professional credentials of LPN. The NPI Number for Kenneth M Johnson is 1497746549 and holds a License No. LP24559 (Maryland).

The current practice location address for Kenneth M Johnson is 2480 Llewellyn Ave, Ft Meade, MD and can be reached out via phone at 301-677-8394 and via fax at 301-677-8876.

Location: 2480 Llewellyn Ave, Ft Meade, MD, 20708-1308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497746549
Provider Name
Kenneth M Johnson
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
2480 Llewellyn Ave, Ft Meade, MD, 20708-1308
Phone Number
301-677-8394
Fax Number
301-677-8876
Provider Enumeration Date
10/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LP24559 01 MD LICENSED PRACTICAL NURSE
institution
Provider Business Practice Location Address Details
Address
2480 Llewellyn Ave
City
Ft Meade
State
Maryland
Zip
20755-5800
Phone Number
301-677-8394
Fax Number
301-677-8876
person
Provider Business Mailing Address Details
Address
2480 Llewellyn Ave
City
Ft Meade
State
Maryland
Zip
20755-5800
Phone Number
301-677-8394
Fax Number
301-677-8876
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LP24559 (Maryland)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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