Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH RAY JOHNSON, PA-C
ActiveMR. KENNETH RAY JOHNSON, PA-C is a Surgical Physician Assistant healthcare provider located in EVANS, Georgia. NPI 1962784785 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · EVANS, GA
Registration Details
- NPI Number
- 1962784785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2011 (14.875608206371 yrs)
- Last Updated
- Jun 29, 2018
- Licenses
-
6259 (GA)6259 (GA)
Practice Information
- Address
-
1203 TOWN PARK LNEVANS, GA, 30809Browse GA providers · Browse ZIP 30809
- Phone
- 7066507546
- Fax
- 7069229168
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in EVANS, GA
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM SAMUEL RUTLEDGE | PA | 1114935822 |
| CHARLES P BEAN JR. | PA | 1053498519 |
| MR. JEFFREY SCOTT PUNSHON | CSA | 1508088071 |
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.