Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Johnson

Individual provider Licensed Practical Nurse · NPI 1487192696

Kellie Johnson is a Licensed Practical Nurse in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

1910 Arthur Ave
Bronx, NY 10457-6305
Phone: (718) 466-8961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 302542 (NY)

Record details

NPI number1487192696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2017
Last updated in NPPESFebruary 8, 2017

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