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Individual

DR. KATELYN ELIZABETH JOHNSON-CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
5 PARK SQ, ELLICOTTVILLE, NY 14731-7014
(716) 257-4397
(681) 230-8216
Mailing address
PO BOX 1252, ELLICOTTVILLE, NY 14731-1252
(941) 441-7804
(681) 230-8216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
261977
NY

Other

Enumeration date
08/01/2008
Last updated
09/03/2025
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