Kalie Johnson, PA
Physician Assistant, Surgical in Saint Cloud, MN. Individual provider (NPI-1).
NPI number1457739773
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1457739773
- Entity type
- Individual (NPI-1)
- Name
- Kalie Johnson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 7, 2015
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
1406 6th Ave NSaint Cloud, MN 56303-1901
Phone 320-251-2700
Mailing address
6811 Nicollet AveRichfield, MN 55423-2467
Other practice locations
6811 Nicollet Ave
Richfield, MN 55423-2467
Richfield, MN 55423-2467
Phone 612-669-5869
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Other Surgical Physician Assistant providers in Saint Cloud, MN
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- Steven Lindblom, PA-CNPI 1356895817
- Julian Richard Luetmer, PA-CNPI 1902151228
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All 12 Surgical Physician Assistant providers in Saint Cloud · All 4,526 providers in Saint Cloud
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