Johnson, Kathryn

Johnson, Kathryn is an individual health care provider with primary practice located at 412 Cedar St Suite C, Santa Cruz CA 95060-4369. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Johnson, Kathryn can be contacted via phone (831) 425-3337.

Contact Information

Primary practice address
412 Cedar St Suite C Santa Cruz CA 95060-4369
Phone: (831) 425-3337
Fax: (831) 466-0366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 509229 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 509229 California

Profile Details

NPI number 1811013469
LBN Legal business name Johnson, Kathryn
Credentials RN,NP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 10th, 2012 - about 13 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 1811013469 NPPES
California MEDICAID GR0050890

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