Mary Johanson

NPI #1194301192 in Ashland, Kentucky

Provider Information

NPI Number: 1194301192
Entity Type: Individual
Name: Mary Johanson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2021
Last Updated: Aug 13, 2025

Practice Location

Address: 2201 LEXINGTON AVE
City: Ashland
State: Kentucky
ZIP Code: 41101-2843
Phone: (606) 408-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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