IndividualActive
Kathleen Johnson, NP-C
NPI 1700214392 · Gerontology Nurse Practitioner · Overland Park, KS
Provider details
- NPI number
- 1700214392
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2023043769 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10116 W 105th St
Overland Park, KS 66212-5746
Phone: (913) 541-0510
Fax: (913) 541-1852
Approximate (ZIP-level) locationGet directions
Mailing address
10116 W 105th St
Overland Park, KS 66212-5746
Registry dates
- Enumerated
- 2013-10-17
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.