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Kelly Johnston, P.A.-C
NPI 1205124716 · on the registry since 2011
Practice
- Address
- 701 Medical Park Dr
Humboldt, TN 38343 - Phone
- (731) 784-4300
- Organisation at this address
- Dermatology And Skin Cancer Consultants, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
- Licence states on file
- KY, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee