Organization
CRAIG A. JOHNSON, M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL R BOONE (PRACTICE MANAGER)
(270) 259-9316
Entity
Organization
Contact information
Practice address
912 WALLACE AVE, SUITE 101, LEITCHFIELD, KY 42754-2404
(270) 259-9316
(270) 259-6571
Mailing address
912 WALLACE AVE, SUITE 101, LEITCHFIELD, KY 42754-2404
(270) 259-9316
(270) 259-6571
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
KY23893
KY
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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