Individual
KRISTEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(707) 576-4000
Mailing address
3325 CHANATE RD, SUITE A, SANTA ROSA, CA 95404-1707
(707) 535-4300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G38250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G382500
—
CA
Enumeration date
07/27/2006
Last updated
07/13/2007
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