Individual
KATHERINE S. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1571 WASHINGTON ST, SUITE 104, WATERTOWN, NY 13601-9304
(315) 782-1650
Mailing address
1571 WASHINGTON ST, SUITE 104, WATERTOWN, NY 13601-9304
(315) 405-5484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0173471
NY
Other
Enumeration date
02/15/2014
Last updated
10/29/2015
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