IndividualActive
Kelly Johnson, D.D.S.
NPI 1962763193 · Oral & Maxillofacial Surgery (D.M.D.) · Wichita, KS
Provider details
- NPI number
- 1962763193
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- KS60821 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2020 N Webb Rd Ste 301
Wichita, KS 67206-3410
Phone: (316) 687-2110
Approximate (ZIP-level) locationGet directions
Mailing address
229 S Bleckley Dr
Wichita, KS 67218-1521
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2025-02-11
- Certified
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.