Individual
MISS KWENDA KIKORA JOHNSON
Active
Individual
MISS KWENDA KIKORA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00351
NC
363AM0700X
Medical Physician Assistant
0010-00351
NC
363AM0700X
Medical Physician Assistant
Primary
13575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399PA
—
SC
01
—
1801811997
MEDICINE
GA
Enumeration date
07/12/2006
Last updated
01/26/2026
Update your record
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