Individual provider · Type 1 NPI

Kimberly Ann Johnson, PA

Physician Assistant · Royal Oak, MI

NPI number 1720309362 Active

Practice location

3601 W 13 Mile Rd, Physician Extender
Royal Oak, MI 48073-6712

Call (248) 898-4021 Map

Fax (248) 898-1473

Mailing address

750 Stephenson Highway, William Beaumont Hospital Payor Contract Services
Troy, MI 48083-1103

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601005757 (MI)

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 1720309362

Kimberly Ann Johnson, PA's National Provider Identifier is 1720309362, issued on Jun 17, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Royal Oak, MI. The record was last updated on Aug 16, 2011.