Individual
MR. SCOTT J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4321 WASHINGTON ST, SUITE 5300, KANSAS CITY, MO 64111-5961
(831) 531-1234
(816) 531-0737
Mailing address
10701 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1231
(913) 341-7985
(913) 341-7988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T-00281
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00339929
RR MEDICARE
—
Enumeration date
04/27/2006
Last updated
10/25/2007
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