person
Katelyn Marie Johnson, PA-C
Medical Physician Assistant in Indianapolis, Indiana
NPI 1659847325

Katelyn Marie Johnson is a Medical Physician Assistant based in Detroit, IN and is specialized in Medical. Katelyn Marie Johnson practices in Indianapolis, IN and has the professional credentials of PA-C. The NPI Number for Katelyn Marie Johnson is 1659847325 and holds a License No. 10002632A (Indiana).

The current practice location address for Katelyn Marie Johnson is 5230 E Stop 11 Rd Ste 150, Indianapolis, IN and can be reached out via phone at 317-865-5904 and via fax at 317-865-5321.

Location: 5230 E Stop 11 Rd Ste 150, Indianapolis, IN, 48278-1076
person
Provider Profile Details
NPI Number
1659847325
Provider Name
Katelyn Marie Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5230 E Stop 11 Rd Ste 150, Indianapolis, IN, 48278-1076
Phone Number
317-865-5904
Fax Number
317-865-5321
Provider Enumeration Date
10/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5230 E Stop 11 Rd Ste 150
City
State
Zip
46237-6399
Phone Number
317-865-5904
Fax Number
317-865-5321
person
Provider Business Mailing Address Details
Address
5230 E Stop 11 Rd Ste 150
City
State
Zip
46237-6399
Phone Number
317-865-5904
Fax Number
317-865-5321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10002632A (Indiana)
Definition
Definition to come...
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