Johnson, Kristen C

Johnson, Kristen C is an individual health care provider with primary practice located at Beaufort Memorial Lowcountry Medical Group 300 Midtown Drive, Beaufort SC 29906-5200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Johnson, Kristen C can be contacted via phone (843) 770-0404.

Contact Information

Primary practice address
Beaufort Memorial Lowcountry Medical Group 300 Midtown Drive Beaufort SC 29906-5200
Phone: (843) 770-0404
Fax: (844) 296-2309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1310 South Carolina

Profile Details

NPI number 1336300078
LBN Legal business name Johnson, Kristen C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated Jul 24th, 2019 - about 5 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 1336300078 NPPES
South Carolina MEDICAID 0673PA

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