Individual provider · Type 1 NPI

Kimberly Sanders Johnson, PA

Surgical Physician Assistant · Knoxville, TN

NPI number 1821320656 Active

Practice location

9430 Park West Blvd, # 130
Knoxville, TN 37923-4200

Call (865) 690-4861 Map

Fax (865) 560-8252

Mailing address

PO Box 32569
Knoxville, TN 37930-2569

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XTEMPORARY PERMIT (TN)
Physician Assistant 363A00000XPA0000001820 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1821320656

Kimberly Sanders Johnson, PA's National Provider Identifier is 1821320656, issued on Feb 4, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Knoxville, TN. The record was last updated on Feb 1, 2013.