Kea Johnson is a Contractor based in Rowlett, TX. Kea Johnson practices in Dallas, TX. The NPI Number for Kea Johnson is 1861144438 and holds a License No. 45D2249010 (Texas).
The current practice location address for Kea Johnson is 2714 S 2Nd Ave, Dallas, TX and can be reached out via phone at 469-720-3797.
Location: 2714 S 2Nd Ave, Dallas, TX, 75030-2852
Provider Profile Details
NPI Number
1861144438
Provider Name
Kea Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2714 S 2Nd Ave, Dallas, TX, 75030-2852
Phone Number
469-720-3797
Fax Number
Provider Enumeration Date
01/25/2022
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2249010 | 01 | TX | CLIA WAIVER |
Provider Business Practice Location Address Details
Address
2714 S 2Nd Ave
City
State
Zip
75210-2090
Phone Number
469-720-3797
Fax Number
Provider Business Mailing Address Details
Address
2714 S 2Nd Ave
City
State
Zip
75210-2090
Phone Number
469-720-3797
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
45D2249010 (Texas)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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