| Katherine E. Johnson, M.d., Inc. | |
|
60 Washington Blvd Kenton OH 43326-2080 | |
| (419) 673-8689 | |
| Not Available |
| Full Name | Katherine E. Johnson, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Washington Blvd, Kenton, Ohio |
| Authorized Official Name and Position | Katherine E. Johnson (PRESIDENT) |
| Authorized Official Contact | 4196738689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine E. Johnson, M.d., Inc. 60 Washington Blvd Kenton OH 43326-2080 Ph: (419) 673-8689 | Katherine E. Johnson, M.d., Inc. 60 Washington Blvd Kenton OH 43326-2080 Ph: (419) 673-8689 |
| NPI Number | 1972669687 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972669687 | NPI | - | NPPES |
| 2326754 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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