Johnson, Amy O

Johnson, Amy O is an individual health care provider with primary practice located at 911 Bypass Rd Bldg A , Pikeville KY 41501-1689. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Johnson, Amy O can be contacted via phone (606) 430-2205.

Contact Information

Primary practice address
911 Bypass Rd Bldg A Pikeville KY 41501-1689
Phone: (606) 430-2205
Fax: (606) 218-7507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2002-00267 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 230012 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 44838 Kentucky

Profile Details

NPI number 1003811985
LBN Legal business name Johnson, Amy O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Sep 22nd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003811985 NPPES
Kentucky MEDICAID 7100195700
Kentucky MEDICAID 89126X4

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