Pamela Gail Johnson
Adolescent Medicine
466 Linden Ave
Harrodsburg
, Kentucky 40330-1841
Pamela Gail Johnson
Adolescent Medicine
466 Linden Ave
Harrodsburg
, Kentucky 40330-1841
(859) 734-0664
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Pamela Gail Johnson
- 466 Linden Ave Po Box 364
- Harrodsburg, KY
- Zip : 40330-1841
- Fax : (859) 734-0664
- Phone : (859) 734-5123
Second Address
- Pamela Gail Johnson
- 466 Linden Ave
- Harrodsburg, KY
- Zip : 40330-1841
- Fax : (859) 734-0664
- Phone : (859) 734-5123
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 25108 | KY |
National Provider Identifier
| NPI | 1013977255 |
|---|---|
| Provider Name | Pamela Gail Johnson |
| First Address | Harrodsburg, KY 40330-1841 |
| Second Address | Harrodsburg, KY 40330-1841 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2006 |
| Last Update Date | 11/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64251085 | (05) | KY |
| E89877 | (02) | KY |
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.