KATELYN MARIE JOHNSON

INDIANAPOLIS, IN
NPI1659847325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IN  10002632A)
Enumeration Date2018-10-19
Last Update Date2023-10-03
Business Address
KATELYN MARIE JOHNSON PA-C
5230 E STOP 11 RD STE 150
INDIANAPOLIS, IN 46237-6399
Phone number: 317-865-5904
Mailing Address
KATELYN MARIE JOHNSON PA-C
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800