Individual provider · Type 1 NPI

Kwenda Kikora Johnson, P.A.

Medical Physician Assistant · Hapeville, GA

NPI number 1801811997 Active

Practice location

535 N Central Ave
Hapeville, GA 30354-1603

Mailing address

5753 Jubilant Dr
Rex, GA 30273-1574

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X13575 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1801811997

Kwenda Kikora Johnson, P.A.'s National Provider Identifier is 1801811997, issued on Jul 12, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hapeville, GA. The record was last updated on Jan 26, 2026.