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Individual

DR. KAY A JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16461 DOMESTIC AVE, FORT MYERS, FL 33912-6008
(877) 266-7768
(603) 952-3900
Mailing address
3123 GREEN MEADOW DRIVE, SAN ANGELO, TX 76904-6977
(325) 944-3376
(325) 944-3306

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
K7307
TX
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME131008
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z000080R4
TX
Enumeration date
11/22/2005
Last updated
03/02/2022
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