Johnson, Kyle Patrick

Johnson, Kyle Patrick is an individual health care provider with primary practice located at 30 Mark West Springs Rd , Santa Rosa CA 95403-1436. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Kyle Patrick can be contacted via phone (707) 576-4040.

Contact Information

Primary practice address
30 Mark West Springs Rd Santa Rosa CA 95403-1436
Phone: (707) 576-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 57855 California

Profile Details

NPI number 1548720816
LBN Legal business name Johnson, Kyle Patrick
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2019
Last updated Oct 31st, 2023 - about 3 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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