Kenneth W Johnson
Optician
Rw Petruso Hearing And Audiology Center, Inc 8001 Rowan Rd, Suite 201
Cranberry Twp
, Pennsylvania 16066-3619
(814) 337-0188
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About
Features
Specialties
- Optician
Languages spoken
- English
Location
First Address
- Kenneth W Johnson
- Rwpetruso Hearing And Audiology Center, Inc 937 Park Ave
- Meadville, PA
- Zip : 16335-3334
- Fax : (814) 337-0188
- Phone : (814) 724-6211
Second Address
- Kenneth W Johnson
- Rw Petruso Hearing And Audiology Center, Inc 8001 Rowan Rd, Suite 201
- Cranberry Twp, PA
- Zip : 16066-3619
- Fax : (724) 779-4329
- Phone : (724) 779-4327
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 156FX1800X | Optician |
National Provider Identifier
| NPI | 1134383466 |
|---|---|
| Provider Name | Kenneth W Johnson |
| First Address | Meadville, PA 16335-3334 |
| Second Address | Cranberry Twp, PA 16066-3619 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 19/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.