Johnson, Kerry A
Johnson, Kerry A is an individual health care provider with primary practice located at 14000 Nicollet Ave Ste 100 , Burnsville MN 55337-5793. 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, Kerry A can be contacted via phone (952) 428-0200.Contact Information
Primary practice address
14000 Nicollet Ave Ste 100
Burnsville MN 55337-5793
Phone: (952) 428-0200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2764 | Minnesota |
Profile Details
| NPI number | 1477504058 |
|---|---|
| LBN Legal business name | Johnson, Kerry A |
| Credentials | CNP-FNP-DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Feb 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477504058 | NPPES |
| Minnesota | MEDICAID | 111925000 |
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