Individual provider · Type 1 NPI

Kailey Roberson Johnson, PA-C

Physician Assistant · Shreveport, LA

NPI number 1275204745 Active

Practice location

2508 Bert Kouns Industrial Loop Ste 310
Shreveport, LA 71118-3154

Mailing address

6051 Roma Dr Apt 508
Shreveport, LA 71105-4670

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X328816 (LA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1275204745

Kailey Roberson Johnson, PA-C's National Provider Identifier is 1275204745, issued on Sep 24, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 21, 2024.