Individual
DR. COURTNEY DAWN JOHNSON-MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M
Contact information
Practice address
820 TURNPIKE AVE, CLEARFIELD, PA 16830-1233
(814) 765-2006
(814) 765-5736
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005951
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023372050001
—
PA
01
—
2106984
HIGHMARK BCBS
PA
Enumeration date
07/23/2007
Last updated
02/19/2016
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