Kristin A Johnson in Grand Rapids - Family Medicine
Kristin A Johnson - NPI 1164539581
Kristin A Johnson is a Family Medicine in Grand Rapids, Minnesota. Kristin A Johnson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kristin A Johnson is 1164539581. The last update date is 2008-04-18.
Kristin A Johnson's current location address is 409 Se 13th St, Grand Rapids, Minnesota. You can contact this provider via phone number 2183269100 and fax number 2183269200. The mailing address for Kristin A Johnson is 409 Se 13th St, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin A Johnson |
|---|---|
| Address | 409 Se 13th St, Grand Rapids, Minnesota |
| Phone Number | 2183269100 |
| Fax Number | 2183269200 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164539581 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 409 Se 13th St |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557444257 |
| Phone Number | 2183269100 |
| Fax Number | 2183269200 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24799 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 48A44JO | MN | BCBS |
Post Comment/ Review Below
What is the Kristin A Johnson's 1164539581?
The Kristin A Johnson's NPI (National Provider Identifier) Number is 1164539581. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kristin A Johnson's facilities are situated?
The facilities of Kristin A Johnson are physically located at the following address: 409 Se 13Th St, Grand Rapids, MN, 557444257.
What is Kristin A Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kristin A Johnson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Kristin A Johnson receive the assignment of its 1164539581 from the Centers for Medicare & Medicaid Services?
The Kristin A Johnson was issued its 1164539581 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the information regarding Kristin A Johnson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kristin A Johnson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-18.