Johnson, Kelly A

Johnson, Kelly A is an individual health care provider with primary practice located at 2 Great Falls Plz Ste 21 , Auburn ME 04210-5966. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Kelly A can be contacted via phone (207) 330-3950.

Contact Information

Primary practice address
2 Great Falls Plz Ste 21 Auburn ME 04210-5966
Fax: (207) 330-3955
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP101067 Maine

Profile Details

NPI number 1144539107
LBN Legal business name Johnson, Kelly A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2010
Last updated Jan 27th, 2021 - about 3 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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