Individual provider · Type 1 NPI

Mary Johanson

Pediatrics Physician · Ashland, KY

NPI number 1194301192 Active

Practice location

2201 Lexington Ave
Ashland, KY 41101-2843

Call (606) 408-4000 Map

Mailing address

3112 Dublin Dr
Bismarck, ND 58503-6424

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XTP529 (KY)
Pediatrics Physician Primary 208000000XTP529 (KY)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1194301192

Mary Johanson's National Provider Identifier is 1194301192, issued on Mar 20, 2021. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Ashland, KY. The record was last updated on Aug 13, 2025.