Dr Kimberly Susan Johnson, MD is a
Pediatrics physician based in Tyndall Afb, Florida. Dr Kimberly Susan Johnson is licensed to practice in Louisiana (license number 024311) and her current practice location is 340 Magnolia Circle, Tyndall Afb, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 283-7678.
NPI number for Dr Kimberly Susan Johnson is 1285600437 and her current mailing address is 1214 Huntington Ridge Rd, Lynn Haven, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285600437.
Physician's Profile
| Full Name | Dr Kimberly Susan Johnson |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 340 Magnolia Circle, Tyndall Afb, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285600437
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kimberly Susan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285600437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 024311 (Louisiana) | 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 Kimberly Susan 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 Kimberly Susan Johnson, MD
1214 Huntington Ridge Rd,
Lynn Haven, FL 32444-3189
Ph: (850) 814-7987 | Dr Kimberly Susan Johnson, MD
340 Magnolia Circle,
Tyndall Afb, FL 32403-5612
Ph: (850) 283-7678 |
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