Individual
DR. ANDREA P JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 E. PARRISH AVE, BLDG B STE 101, OWENSBORO, KY 42303-1449
(270) 683-3232
(270) 852-1600
Mailing address
2200 E. PARRISH AVE, BLDG B, STE 101, OWENSBORO, KY 42303-1449
(270) 683-3232
(270) 852-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
11012573A
IN
208000000X
Pediatrics Physician
Primary
41932
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65939241
—
KY
01
—
71-00046130
KENPAC
KY
Enumeration date
02/06/2008
Last updated
09/18/2023
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