Individual
CAROLINE JUDITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3999 DUTCHMANS LN STE 6F, LOUISVILLE, KY 40207-4724
(502) 394-5678
(502) 394-5600
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2562
KY
363A00000X
Physician Assistant
TC872
KY
Other
Enumeration date
09/29/2019
Last updated
04/24/2024
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