Individual provider · Type 1 NPI

Kalie Johnson, PA

Surgical Physician Assistant · St. Cloud, MN

NPI number 1457739773 Active

Practice location

1406 6th Ave N
St. Cloud, MN 56303-1901

Call (320) 251-2700 Map

Mailing address

6811 Nicollet Ave
Richfield, MN 55423-2467

Other practice locations

  • 6811 Nicollet Ave, Richfield, MN 55423-2467 · (612) 669-5869

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1457739773

Kalie Johnson, PA's National Provider Identifier is 1457739773, issued on May 7, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in St. Cloud, MN. The record was last updated on Mar 25, 2021.