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Individual

KATELYN ADMIRE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
444 FOUR STATES DR, GALENA, KS 66739-4324
(620) 783-4441
Mailing address
444 FOUR STATES DR, GALENA, KS 66739-4324
(620) 783-4441

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4398
OK
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/17/2020
Last updated
01/08/2026
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