Provider Demographics
NPI:1083910806
Name:JOHNSTON, KRISTINE FAITH (BA)
Entity Type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:FAITH
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:FAITH
Other - Last Name:APPLETON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:327 SW FRAZIER AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1963
Mailing Address - Country:US
Mailing Address - Phone:785-232-7981
Mailing Address - Fax:785-232-0160
Practice Address - Street 1:715 NE POPLAR ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66616-1320
Practice Address - Country:US
Practice Address - Phone:785-232-7981
Practice Address - Fax:785-232-0160
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator