Doctor Name: | MRS. KELLY NAPIER JOHNSTON |
NPI Number: | 1205124716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | PA1695 |
Business Practice Address: | 701 Medical Park Dr Humboldt, TN - 383433034 |
Business Phone Number: | 7317844300 |
Business Fax Number: | |
Mailing Address: | 701 Medical Park Dr, HUMBOLDT |
State: | TN |
Postal Code: | 383433034 |
Phone Number: | 7317844300 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2011 |
NPI Last Update Date: | 11/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA1695 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |