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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477504058 NPPES
Minnesota MEDICAID 111925000

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