Johnston, Kay A

Johnston, Kay A is an individual health care provider with primary practice located at 16461 Domestic Ave , Fort Myers FL 33912-6008. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is her primary health care specialty. Johnston, Kay A can be contacted via phone (877) 266-7768.

Contact Information

Primary practice address
16461 Domestic Ave Fort Myers FL 33912-6008
Phone: (877) 266-7768
Fax: (603) 952-3900
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X K7307 Texas
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME131008 Florida

Profile Details

NPI number 1417930652
LBN Legal business name Johnston, Kay A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 2nd, 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 1417930652 NPPES
Texas MEDICAID Z000080R4

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