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Katelyn Ann Johnson, DMD
Student in an Organized Health Care Education/Training Program in Bradenton, Florida
NPI 1619547379

Katelyn Ann Johnson is a Student in an Organized Health Care Education/Training Program based in Clearwater, FL. Katelyn Ann Johnson practices in Bradenton, FL and has the professional credentials of DMD. The NPI Number for Katelyn Ann Johnson is 1619547379 and holds a License No. (Florida).

The current practice location address for Katelyn Ann Johnson is 5215 Manatee Avenue West, Bradenton, FL and can be reached out via phone at 941-792-7887 and via fax at 941-795-6763.

Location: 5215 Manatee Avenue West, Bradenton, FL, 33765-8200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619547379
Provider Name
Katelyn Ann Johnson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
5215 Manatee Avenue West, Bradenton, FL, 33765-8200
Phone Number
941-792-7887
Fax Number
941-795-6763
Provider Enumeration Date
06/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5215 Manatee Avenue West
City
Bradenton
State
Florida
Zip
34209
Phone Number
941-792-7887
Fax Number
941-795-6763
person
Provider Business Mailing Address Details
Address
5215 Manatee Avenue West
City
Bradenton
State
Florida
Zip
34209
Phone Number
941-792-7887
Fax Number
941-795-6763
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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