Individual
DANA ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST, SUITE 19, ASHLAND, KY 41101-2845
(606) 325-2221
(606) 324-1326
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25543
KY
207RH0003X
Hematology & Oncology Physician
Primary
25543
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829787
OHIO MEDICAID
OH
05
—
64255433
—
KY
Enumeration date
07/20/2005
Last updated
08/02/2019
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