Kelly Anita Johnson, MCD-SLP is a
Speech-language Pathologist based in Maynard, Arkansas. Kelly Anita Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
74 Campus Dr, Maynard, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 647-3524.
NPI number for Kelly Anita Johnson is 1477862043 and her current mailing address is 147 Ellis Rd, Pocahontas, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477862043.
Healthcare Provider's Profile
Full Name | Kelly Anita Johnson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 74 Campus Dr, Maynard, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477862043
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 09/30/2010
Medical Identifiers
Medical identifiers for Kelly Anita Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477862043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Anita Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Anita Johnson, MCD-SLP 147 Ellis Rd, Pocahontas, AR 72455-8906 Ph: (870) 647-3524 | Kelly Anita Johnson, MCD-SLP 74 Campus Dr, Maynard, AR 72444-9225 Ph: (870) 647-3524 |
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