Individual
KATIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1602
(606) 430-3500
(606) 437-0595
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-3500
(606) 437-0595
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05790
KY
207P00000X
Emergency Medicine Physician
TP259
KY
Other
Enumeration date
03/25/2021
Last updated
08/13/2024
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