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Contact Information

BRIAN S JOHNSTON, PA
1532 LONE OAK RD
SUITE 310
PADUCAH, KY42003-7913
 Phone: 270-538-6200
 Fax: 270-538-6220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BRIAN S JOHNSTON · (Male)

NPI Number 1871668525
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 11/21/2006
Last updated 12/04/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085-001922
  • KY License # PA813
  • KY Medicaid 7100200860
  • Other 112837 HEALTH ALLIANCE
Hospital affiliation(s)
  • MARSHALL COUNTY HOSPITAL - (Critical Access)
    615 OLD SYMSONIA ROAD
    BENTON, KY 42025
  • WESTERN BAPTIST HOSPITAL - (Acute Care)
    2501 KENTUCKY AVENUE
    PADUCAH, KY 42003
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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