Most Relevant Information
Provider Data
| NPI Number: | 1003415407 |
| Provider Name: | KATHERYN JOHNSON CPT, CRNA, PTC |
| Entity Type: | Individual |
| Taxonomy Code: | 246RP1900X |
| Specialty: | Technician, Pathology |
| License Number: | 0011-5573 |
Most Important Dates
| Enumeration Date: | 10/19/2020 |
| Last Updated: | 01/01/2021 |
Provider Practice Location
3914 SANDALWOOD LN
PUEBLO
CO
810052586
Practice Location Phone/Fax
| Phone: | 7192045008 |
| Fax: | 7199827494 |
Provider Mailing Location
11953 W HORNSILVER MTN
LITTLETON
CO
801273231
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |