NPI: 1013978485 · JOHNSON, KS 67855 · Family Medicine Physician · NPI assigned 03/28/2006
| Authorized Official | WILKERSON, CHERYL (OFFICE MANAGER) |
| NPI Enumeration Date | 03/28/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $234.15 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $234.15 |