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Individual
DAVID E JOHNSON
Active
Individual
DAVID E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA634
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202150
BCBS PROVIDER NUMBER
—
01
—
PA634
LICENSE
KY
Enumeration date
09/17/2006
Last updated
03/26/2026
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