Individual
TIMOTHY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 628-8300
(785) 623-4634
Mailing address
PO BOX 821, HAYS, KS 67601-0821
(785) 628-8300
(785) 623-4634
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54371
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100276330A
—
KS
Enumeration date
06/06/2006
Last updated
01/21/2014
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