Most Relevant Information
Provider Data
| NPI Number: | 1003376328 |
| Provider Name: | COLTON KYLE JOHNSTON ACNPC-AG |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN9343192 |
Most Important Dates
| Enumeration Date: | 03/22/2019 |
| Last Updated: | 01/27/2022 |
Provider Practice Location
2202 STATE AVE STE 207
PANAMA CITY
FL
324054582
Practice Location Phone/Fax
| Phone: | 8508723939 |
| Fax: |
Provider Mailing Location
8700 FRONT BEACH RD UNIT 6307
PANAMA CITY BEACH
FL
324074286
Provider Mailing Phone/Fax
| Phone: | 8506240880 |
| Fax: |