MRS. Sadie Johnson, PA-C

NPI #1942623541 in Kearney, Nebraska

Provider Information

NPI Number: 1942623541
Entity Type: Individual
Name: MRS. Sadie Johnson, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 3, 2014
Last Updated: Feb 3, 2014

Practice Location

Address: 816 22ND AVE
Address 2: SUITE 100
City: Kearney
State: Nebraska
ZIP Code: 68845
Phone: (308) 991-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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