Johnston, Keary J

Johnston, Keary J is an sole proprietor health care provider with primary practice located at 1434 Porter St , Fort Detrick MD 21702-9254. 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. Johnston, Keary J can be contacted via phone (915) 227-9515.

Contact Information

Primary practice address
1434 Porter St Fort Detrick MD 21702-9254
Phone: (915) 227-9515
Fax: (915) 569-1233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 007117 New York

Profile Details

NPI number 1568508091
LBN Legal business name Johnston, Keary J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Aug 12th, 2011 - about 13 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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