Kendra Johnson
Individual provider Active NPI Phlebotomy Technician · Kearns, UT
NPI 1073018545 · NPPES record last updated Mar 27, 2018
Key facts
- NPI
- 1073018545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Phlebotomy Technician 246RP1900X
- Practice address
- 3809 W 6200 S
Kearns, UT 84081 - Phone
- (801) 963-4209
- NPI assigned
- Mar 27, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | Yes |
Addresses
Primary practice location
3809 W 6200 S
Kearns, UT 84081
Mailing address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Other providers in Kearns, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.