Individual
KEITH ALLAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7055 WESTBRANCH HWY, LEWISBURG, PA 17837-6808
(570) 524-4141
(570) 524-5218
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003170L
PA
363AM0700X
Medical Physician Assistant
MA003170L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50012614
CAPITAL BLUE CROSS
PA
01
—
P00214218
RAILROAD MEDICARE
PA
Enumeration date
07/25/2006
Last updated
01/21/2026
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