Johnson, Kenneth Ray

Johnson, Kenneth Ray is an individual health care provider with primary practice located at 1203 Town Park Ln , Evans GA 30809. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Johnson, Kenneth Ray can be contacted via phone (706) 650-7546.

Contact Information

Primary practice address
1203 Town Park Ln Evans GA 30809
Phone: (706) 650-7546
Fax: (706) 922-9168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 6259 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 6259 Georgia

Profile Details

NPI number 1962784785
LBN Legal business name Johnson, Kenneth Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2011
Last updated Jun 29th, 2018 - about 8 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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