| Doctor Name: | DR. KATHRYN LEE JOHNSON |
| NPI Number: | 1427028216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 028693 |
| Business Practice Address: | 20 Goodwin St Niantic, CT - 063573610 |
| Business Phone Number: | 8607390626 |
| Business Fax Number: | 8607396292 |
| Mailing Address: | 20 Goodwin St, NIANTIC |
| State: | CT |
| Postal Code: | 063573610 |
| Phone Number: | 8607390626 |
| Fax Number: | 8607396292 |
| NPI Enumeration Date: | 01/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2083P0500X |
| License Number: | 028693 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Preventive Medicine |
| Taxonomy Specialization: | Preventive Medicine/Occupational Environmental Medicine |
| Taxonomy Definition: | A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |