Search › Alaska › 363A00000X
Kenneth Johnson, PA-C
NPI 1679597868 · on the registry since 2006
Practice
- Address
- 4315 Diplomacy Dr
Attn: Sherry Reedy
Anchorage, AK 99508 - Phone
- (907) 729-3971
- Fax
- (907) 729-1542
- Organisation at this address
- Southcentral Foundation
Southcentral Foundation
Southcentral Foundation
Alaska Native Medical Center
Alaska Native Medical Center PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 370
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- AK, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-11
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 Alaska