Kyah Johnson
Individual provider Active NPI Community Health Worker · Mount Morris, MI
NPI 1750166179 · NPPES record last updated Aug 25, 2023
Key facts
- NPI
- 1750166179
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 2304 W Frances Rd
Mount Morris, MI 48458-8229 - Phone
- (810) 547-7056
- NPI assigned
- Aug 25, 2023
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
2304 W Frances Rd
Mount Morris, MI 48458-8229
Mailing address
2304 W Frances Rd
Mount Morris, MI 48458-8229
Other providers in Mount Morris, MI
- Khelsey Jefferson
- Jerry D. McClane, D.C.,P.C.
- Cierra Jobson
- Cheynne Johnson
- Keisha Johnson
- Jerry Johnston
- Varinder Mohan Khindri
- Robert M King II
- Kroger Co of Michigan
- Crystal Lang
All providers in Mount Morris, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2023. 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.