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MR. COREY DEWITE JOHNSON SR. DIETARY MANAGER
NPI 1740029792
Driver in Kansas City, MO

Active since May 20, 2024
3442 WABASH AVE, KANSAS CITY, MO 64109(816) 215-0334 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Corey Dewite Johnson Sr. Dietary Manager NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. COREY DEWITE JOHNSON SR. DIETARY MANAGER (NPI 1740029792) is an individual driver provider in Kansas City, Missouri, licensed in Missouri (J125035005) and active in the NPI registry since May 2024.Information from the official NPPES registry record, last updated May 20, 2024.

NPPES Registry Identity

NPI1740029792
Entity TypeIndividualMale
Provider Legal NameMR. COREY DEWITE JOHNSON SR.Credential: DIETARY MANAGER
Location Address3442 WABASH AVEKansas City, MO 64109-2539
Mailing Address7100 E 134th TerGrandview, MO 64030-3357 · (816) 215-0334
Phone(816) 215-0334
Sole ProprietorYes
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1740029792 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Driver

Taxonomy 172A00000X · Other Service Providers

✔ Licensed in MO · J125035005

A person employed to operate a motor vehicle as a carrier of persons or property.

3442 WABASH AVE, Kansas City, MO 64109
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Also on File with NPPES

Group Practice1
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization. (193200000X MULTI-SPECIALTY GROUP)

Reviews for MR. COREY DEWITE JOHNSON SR. DIETARY MANAGER

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Frequently Asked Questions

What is Corey Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1740029792, enumerated as an "individual" on May 20, 2024.

Where is the provider located?

The provider is located at 3442 WABASH AVE KANSAS CITY, MO 64109 and the phone number is (816) 215-0334.

What is the provider's specialty?

Driver with taxonomy code 172A00000X.