Individual
DR. KATHRYN LEE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 GOODWIN ST, NIANTIC, CT 06357-3610
(860) 739-0626
(860) 739-6292
Mailing address
20 GOODWIN ST, NIANTIC, CT 06357-3610
(860) 739-0626
(860) 739-6292
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
028693
CT
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
028693
CT
Other
Enumeration date
01/24/2006
Last updated
09/11/2025
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