Individual
KATHRYN L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
702 BARNHILL DR, INDIANAPOLIS, IN 46202-5128
(317) 274-1201
(317) 278-9905
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
28122383
IN
363LN0000X
Neonatal Nurse Practitioner
71001903
IN
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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