Doctor Name: | PAMELA GAIL JOHNSON |
NPI Number: | 1013977255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 25108 |
Business Practice Address: | 466 Linden Ave Harrodsburg, KY - 403301841 |
Business Phone Number: | 8597345123 |
Business Fax Number: | 8597340664 |
Mailing Address: | 466 Linden Ave, Po Box 364 HARRODSBURG |
State: | KY |
Postal Code: | 403301841 |
Phone Number: | 8597345123 |
Fax Number: | 8597340664 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 25108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |