Individual
HOLLY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3711A SW WANAMAKER RD, TOPEKA, KS 66610-1368
(785) 380-3310
(785) 380-8012
Mailing address
3711A SW WANAMAKER RD, TOPEKA, KS 66610-1368
(785) 380-3310
(785) 380-8012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01805
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002420
MEDICARE PTAN
KS
Enumeration date
06/26/2014
Last updated
12/30/2024
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