Individual
KATHRYN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 DAGGETT AVE, KLAMATH FALLS, OR 97601-1118
(541) 851-4800
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA219751
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2021
Last updated
07/11/2024
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