Individual
KRISTIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-3178
(419) 731-4271
Mailing address
885 N SANDUSKY AVE, UPPER SANDUSKY, OH 43351-1031
(419) 294-3178
(419) 731-4271
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50002299
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071599
—
OH
Enumeration date
09/08/2005
Last updated
11/19/2025
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