Individual
MR. KENNETH RAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1203 TOWN PARK LN, EVANS, GA 30809
(706) 650-7546
(706) 922-9168
Mailing address
PO BOX 63185, CHARLOTTE, NC 28263-3001
(706) 650-7546
(706) 922-9168
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
6259
GA
363AS0400X
Surgical Physician Assistant
Primary
6259
GA
Other
Enumeration date
09/19/2011
Last updated
06/29/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us