Individual
MS. KEARY J JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1434 PORTER ST, FORT DETRICK, MD 21702-9254
(915) 227-9515
(915) 569-1233
Mailing address
1434 PORTER ST, FORT DETRICK, MD 21702-9254
(915) 227-9515
(915) 569-1233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007117
NY
Other
Enumeration date
01/30/2007
Last updated
08/12/2011
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