Individual
MRS. KARI J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-2398
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.005475
IL
363AM0700X
Medical Physician Assistant
Primary
4843
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085.005475
IL LICENSE
IL
Enumeration date
07/01/2015
Last updated
01/19/2021
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