Individual
KAYE L JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
432
WI
363AM0700X
Medical Physician Assistant
432
WI
Other
Enumeration date
06/21/2005
Last updated
10/11/2021
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