Johnston, Kay A
Johnston, Kay A is an individual health care provider with primary practice located at 16461 Domestic Ave , Fort Myers FL 33912-6008. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Johnston, Kay A can be contacted via phone (877) 266-7768.Contact Information
Primary practice address
16461 Domestic Ave
Fort Myers FL 33912-6008
Phone: (877) 266-7768
Fax: (603) 952-3900
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | K7307 | Texas |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME131008 | Florida |
Profile Details
NPI number | 1417930652 |
---|---|
LBN Legal business name | Johnston, Kay A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2005 |
Last updated | Mar 2nd, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417930652 | NPPES |
Texas | MEDICAID | Z000080R4 |
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