Koryn Amanda Johnston
Family Doctor
110 Plaza Ln
Wellsboro
, Pennsylvania 16901-1773
Koryn Amanda Johnston
Family Doctor
110 Plaza Ln
Wellsboro
, Pennsylvania 16901-1773
(570) 888-5858
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Koryn Amanda Johnston
- 1 Guthrie Sq
- Sayre, PA
- Zip : 18840-1625
- Phone : (570) 888-5858
Second Address
- Koryn Amanda Johnston
- 110 Plaza Ln
- Wellsboro, PA
- Zip : 16901-1773
- Fax : (570) 724-5510
- Phone : (570) 724-4241
Reviews
FAQs
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Is Koryn Amanda Johnston a sole practitioner?
Is Koryn Amanda Johnston accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | OS017260 | PA |
National Provider Identifier
| NPI | 1003107442 |
|---|---|
| Provider Name | Koryn Amanda Johnston |
| First Address | Sayre, PA 18840-1625 |
| Second Address | Wellsboro, PA 16901-1773 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2011 |
| Last Update Date | 04/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03987359 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.