National Provider Identifier
Kimberley Ann Johnston, PA
Kimberley Ann Johnston, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1063728301
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 24, 2010
- Last Updated
- August 24, 2010
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Mailing Address
- 721 Mariner Cir
- Webster, NY 14580-3908
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1063728301
- Entity Type
- Individual
- Last Name
- Johnston
- First Name
- Kimberley
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- PA
- Mailing Street Address
- 721 Mariner Cir
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-3908
- Mailing Country
- US
- Mailing Phone
- (585) 704-5469
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- August 24, 2010
- Last Updated
- August 24, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)