Individual
KRISTINE HNATYSHYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVENUE, BOSTON CHILDREN'S HOSPITAL, MAILSTOP 3220, BOSTON, MA 02115
(857) 218-4924
(617) 730-0459
Mailing address
C/O MICHELLE GUEVARA, DEPARTMENT OF ORTHOPEDICS & SPORT, 300 LONGWOOD AVENUE BCH 3220, BOSTON, MA 02115
(857) 215-4924
(617) 730-0459
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
3015971
MA
Other
Enumeration date
08/21/2024
Last updated
03/05/2025
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