Mrs Kelly Jackson Johnson, PA-C | |
510 Lincoln Dr, Herrin, IL 62948-6334 | |
(618) 997-6800 | |
(618) 997-1187 |
Full Name | Mrs Kelly Jackson Johnson |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Location | 510 Lincoln Dr, Herrin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235412982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA1637 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Kelly Jackson Johnson, PA-C 4787 Alben Barkley Dr, Suite 103, Paducah, KY 42001-6789 Ph: (270) 442-9461 | Mrs Kelly Jackson Johnson, PA-C 510 Lincoln Dr, Herrin, IL 62948-6334 Ph: (618) 997-6800 |
Mr. Leon Gauthier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 N Park Ave, Suite 2, Herrin, IL 62948 Phone: 618-942-3344 Fax: 618-942-5045 | |
Mr. John W Nugent, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Mr. Hollis Johnson Clark Jr., P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-997-1187 | |
Mr. Kevin L Rainey, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Drive, Southern Orthopedic Associates Sc, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 | |
Mrs. Dena L Mccormick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 S 14th St, Herrin, IL 62948 Phone: 618-942-2171 Fax: 618-988-6186 | |
Gretchen B Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 Lincoln Dr, Herrin, IL 62948 Phone: 618-997-6800 Fax: 618-998-9124 |