| Doctor Name: | MRS. CHRISTINE J JOHNSON |
| NPI Number: | 1730300492 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, IECE |
| License Number: | IECE CERTIFICATION |
| Business Practice Address: | 201 High Ridge Drive Flemingsburg, KY - 41041 |
| Business Phone Number: | 6065847303 |
| Business Fax Number: | 6066748390 |
| Mailing Address: | 201 High Ridge Drive, FLEMINGSBURG |
| State: | KY |
| Postal Code: | 41041 |
| Phone Number: | 6065847303 |
| Fax Number: | 6066748390 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | IECE CERTIFICATION |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |