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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KEARY J JOHNSTON, PA

Active Sole Proprietor

MS. KEARY J JOHNSTON, PA is a Physician Assistant healthcare provider located in FORT DETRICK, Maryland. NPI 1568508091 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT DETRICK, MD

Registration Details

NPI Number
1568508091
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2007 (19.51901387239 yrs)
Last Updated
Aug 12, 2011
License
007117 (NY)
Sole Proprietor
Yes

Practice Information

Address
1434 PORTER ST
FORT DETRICK, MD, 217029254
Browse MD providers · Browse ZIP 21702
Phone
9152279515
Fax
9155691233
Primary Specialty
Physician Assistant
363A00000X
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.