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Corey Johnson, DIETARY MANAGER — NPI 1740029792, Kansas City, MO | NPI Central

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NPI 1740029792

IndividualActive

Corey Johnson, DIETARY MANAGER

NPI 1740029792 · Driver · Kansas City, MO

Provider details

NPI number: 1740029792
Entity type: Individual
Primary specialty: DriverOther Service Providers
Credential: DIETARY MANAGER
Sex: Male
Sole proprietor: Yes
License: J125035005 (MO)

Specialties & taxonomies

DriverPrimary172A00000XLicense J125035005 (MO)
Other Service Providers

Practice location

3442 Wabash Ave

Kansas City, MO 64109-2539

Phone: (816) 215-0334

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

7100 E 134th Ter

Grandview, MO 64030-3357

Registry dates

Enumerated: 2024-05-20
Last updated: 2024-05-20
Certified: 2024-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.