Individual
MR. KENNETH HUNTER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Mailing address
4315 DIPLOMACY DR, ATTN: SHERRY REEDY, ANCHORAGE, AK 99508-5926
(907) 729-3971
(907) 729-1542
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
18751
CA
363A00000X
Physician Assistant
245
AK
Other
Enumeration date
07/27/2006
Last updated
10/11/2021
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