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Kendall Isaiah Johnson
Student in an Organized Health Care Education/Training Program in Olney, Maryland
NPI 1861264525

Kendall Isaiah Johnson is a Student in an Organized Health Care Education/Training Program based in Silver Spring, MD. Kendall Isaiah Johnson practices in Olney, MD. The NPI Number for Kendall Isaiah Johnson is 1861264525 and holds a License No. (Maryland).

The current practice location address for Kendall Isaiah Johnson is 18109 Prince Philip Dr, Olney, MD and can be reached out via phone at 301-260-3280. You can also correspond with Kendall Isaiah Johnson through the mailing address at 13105 RIVIERA TER, SILVER SPRING, MD - 20904-3582 (mailing address contact number: 301-448-0294).

Location: 18109 Prince Philip Dr, Olney, MD, 20904-3582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861264525
Provider Name
Kendall Isaiah Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
18109 Prince Philip Dr, Olney, MD, 20904-3582
Phone Number
301-260-3280
Fax Number
Provider Enumeration Date
10/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18109 Prince Philip Dr
City
Olney
State
Maryland
Zip
20832-1519
Phone Number
301-260-3280
Fax Number
person
Provider Business Mailing Address Details
Address
13105 Riviera Ter
City
Silver Spring
State
Maryland
Zip
20904-3582
Phone Number
301-448-0294
Fax Number
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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