Individual provider · Type 1 NPI

Kimberly McBride Johnson, P.A.

Surgical Physician Assistant · Columbia, MO

NPI number 1033467287 Active

Practice location

One Hospital Drive
Columbia, MO 65212-0001

Call (573) 882-4909 Map

Fax (573) 884-5184

Mailing address

PO Box 7687
Columbia, MO 65205-7687

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X2012030845 (MO)

Surgical Physician Assistant: Definition to come...

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About NPI 1033467287

Kimberly McBride Johnson, P.A.'s National Provider Identifier is 1033467287, issued on Aug 20, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, MO. The record was last updated on May 29, 2013.