Individual
MISS KWENDA KIKORA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
535 N CENTRAL AVE, HAPEVILLE, GA 30354-1603
(404) 761-4040
Mailing address
5753 JUBILANT DR, REX, GA 30273-1574
(707) 656-6326
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us