Kelley Purvis Johnson, D.M.D. Valid NPI

Individual provider · Dentist · Immokalee, FL

NPI

1699853887

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN15182 (FL)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-02

Last updated

2007-07-08