Doctor Name: | DR. KIMBERLY RAE JOHNSON |
NPI Number: | 1780758953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 12492 |
Business Practice Address: | 1650 Cochrane Cir Fort Carson, CO - 809134613 |
Business Phone Number: | 7195267409 |
Business Fax Number: | |
Mailing Address: | 581st Asmc, Camp Buehring, Kuwait APO |
State: | AE |
Postal Code: | 09330 |
Phone Number: | 7196844557 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 12492 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |