Individual
DR. KATHRYN BOYD JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8820 S MERIDIAN ST STE 125, INDIANAPOLIS, IN 46217-6060
(317) 865-6600
(317) 865-6616
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01064905A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11012702A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200937660
—
IN
Enumeration date
06/06/2007
Last updated
12/03/2020
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