Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JOHNSON
Active Sole ProprietorKELLY JOHNSON is a Physician Assistant healthcare provider located in ASPEN, Colorado. NPI 1720408172 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ASPEN, CO
Registration Details
- NPI Number
- 1720408172
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2014 (12.318354463779 yrs)
- Last Updated
- Jul 22, 2024
- Licenses
-
60610430 (WA)PA.0004662 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 CASTLE CREEK RD STE 2100ASPEN, CO, 816111159Browse CO providers · Browse ZIP 81611
- Phone
- 9704761100
- Fax
- 9704795835
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ASPEN, CO
| Name | Credential | NPI |
|---|---|---|
| LYNDSEY SUSANNE HAYNIE | PA-C | 1477753713 |
| MS. DANA MARIE KOEHN | ATC | 1326310673 |
| ERIKA GLEVA | PA-C | 1598190761 |
| MS. RACHEL MICHELLE HOUSEAL | PA-C | 1508268368 |
| MEGAN ASBURY VAUGHAN | MSPAS, PA-C | 1861859910 |
| KELLY MORRIS DOERING | PA-C | 1245999788 |
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.