Individual
MS. KATHRYN R JOHNSON
Active
Individual
MS. KATHRYN R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1877-023
WI
363AS0400X
Surgical Physician Assistant
1877
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42872400
—
WI
Enumeration date
05/15/2006
Last updated
09/25/2008
Update your record
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