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Individual

MELISSA LEE JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2626 ALEXANDRIA PIKE, HIGHLAND HEIGHTS, KY 41076-1530
(859) 212-7000
(859) 212-7010
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-7000
(859) 212-7010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004547A
IN
363A00000X
Physician Assistant
50.006695RX
OH
363A00000X
Physician Assistant
Primary
PA2761
KY

Other

Enumeration date
10/12/2020
Last updated
11/19/2024
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