Johnson, Kathryn R

Johnson, Kathryn R is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Froedtert & Med College Clin - East, Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Johnson, Kathryn R can be contacted via phone (414) 955-6845.

Contact Information

Primary practice address
9200 W Wisconsin Ave Froedtert & Med College Clin - East Milwaukee WI 53226-3522
Phone: (414) 955-6845
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1877 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1877-023 Wisconsin

Profile Details

NPI number 1932150778
LBN Legal business name Johnson, Kathryn R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Sep 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932150778 NPPES
Wisconsin MEDICAID 42872400

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