person
Kemmian Derrail Johnson
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1528529252

Kemmian Derrail Johnson is a Student in an Organized Health Care Education/Training Program based in New Orleans, LA. Kemmian Derrail Johnson practices in New Orleans, LA. The NPI Number for Kemmian Derrail Johnson is 1528529252 and holds a License No. 325941 (Louisiana).

The current practice location address for Kemmian Derrail Johnson is 2003 Tulane Avenue, New Orleans, LA and can be reached out via phone at 504-962-6110.

Location: 2003 Tulane Avenue, New Orleans, LA, 70112-2865
person
Provider Profile Details
NPI Number
1528529252
Provider Name
Kemmian Derrail Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
2003 Tulane Avenue, New Orleans, LA, 70112-2865
Phone Number
504-962-6110
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2003 Tulane Avenue
City
State
Zip
70112
Phone Number
504-962-6110
Fax Number
person
Provider Business Mailing Address Details
Address
2003 Tulane Avenue
City
State
Zip
70112
Phone Number
504-962-6110
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
325941 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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