Dr Kathryn Lee Johnson, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in Niantic, Connecticut. Dr Kathryn Lee Johnson is licensed to practice in Connecticut (license number 028693) and her current practice location is 20 Goodwin St, Niantic, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 739-0626.
NPI number for Dr Kathryn Lee Johnson is 1427028216 and her current mailing address is 20 Goodwin St, Niantic, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427028216.
Physician's Profile
Full Name | Dr Kathryn Lee Johnson |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 20 Goodwin St, Niantic, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1427028216
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kathryn Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427028216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 028693 (Connecticut) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 028693 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathryn Lee Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kathryn Lee Johnson, MD 20 Goodwin St, Niantic, CT 06357-3610 Ph: (860) 739-0626 | Dr Kathryn Lee Johnson, MD 20 Goodwin St, Niantic, CT 06357-3610 Ph: (860) 739-0626 |
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