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Contact Information

KALIE JOHNSON, PA
1406 6TH AVE N
SAINT CLOUD, MN56303-1901
 Phone: 320-251-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Athletic Trainer

2255A2300X
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KALIE JOHNSON · (Female)

NPI Number 1457739773
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/07/2015
Last updated 03/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
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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