Individual
KAY ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9275 MONTGOMERY RD, STE 200, CINCINNATI, OH 45242-7779
(513) 936-4510
(513) 936-4511
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5501
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-057032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0796867
—
OH
01
—
110228310
RAIL ROAD MEDICARE
OH
05
—
200036210
—
IN
05
—
64864275
—
KY
Enumeration date
04/21/2006
Last updated
01/19/2018
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