Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATELYN ELIZABETH JOHNSON-CLARK, D.O.
Active Sole ProprietorDR. KATELYN ELIZABETH JOHNSON-CLARK, D.O. is a Pediatrics healthcare provider located in ELLICOTTVILLE, New York. NPI 1285890939 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ELLICOTTVILLE, NY
Registration Details
- NPI Number
- 1285890939
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2008 (18.036458537442 yrs)
- Last Updated
- Sep 3, 2025
- License
-
261977 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 PARK SQELLICOTTVILLE, NY, 147317014Browse NY providers · Browse ZIP 14731
- Phone
- 7162574397
- Fax
- 6812308216
- Primary Specialty
-
Pediatrics
208000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.