Krystal Kay Johnston M.D.

NPI 1013979715 - Pediatrics - 208000000X

NPI Details
NPI 1013979715
Gender Female
Enumeration Date 04/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1293 E PARKDALE AVE
SUITE 1200
MANISTEE MI, 49660-8904, US
Phone (231) 398-1710
Fax (231) 398-1716
Business Location
1293 E PARKDALE AVE
SUITE 1200
MANISTEE MI, 49660-8904, US
Phone (231) 398-1710
Fax (231) 398-1716
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number KJ075813
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According to our database, Dr. Krystal Kay Johnston M.D. NPI is 1013979715, taxonomy code is 208000000X and license number is KJ075813, license state is located at Michigan. Krystal Kay Johnston M.D. physically located at 1293 E Parkdale Ave, Manistee MI, 49660-8904. NPI Number Krystal Kay Johnston M.D. has the Individual type.

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1013979715 NPI number is provided on an as is basis without warranty of any kind. 1013979715 is maintained by the National Plan & Provider Enumeration System. The contents of Krystal Kay Johnston M.D. are for informational purposes only.