Individual
DONALD JON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
732 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-1139
(606) 849-2323
(606) 849-2025
Mailing address
732 ELIZAVILLE AVE, P.O. BOX 344, FLEMINGSBURG, KY 41041-1139
(606) 849-2323
(606) 849-2025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95003638
—
KY
Enumeration date
09/16/2005
Last updated
01/25/2017
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