Individual provider · Type 1 NPI
Caroline Dare Johnson
Medical Physician Assistant · Edgewood, KY
NPI number
1053218503
Active
Practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1053218503
Caroline Dare Johnson's National Provider Identifier is 1053218503, issued on Oct 20, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Edgewood, KY. The record was last updated on Oct 20, 2026.