Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kassie Soefje Johnson, MD

Individual provider Family Medicine Physician · NPI 1902167364

Dr. Kassie Soefje Johnson, MD is a Family Practice in Independence, Kentucky. Qualified in 2012, 14 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky, North Carolina and Texas.

Years since qualifying
14
Licensed in
KY, NC, TX
In the registry since
2012
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

135 Courthouse Xing
Independence, KY 41051-2509
Phone: (859) 356-6800
Fax: (859) 363-4073
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 59606 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence TP198 (KY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2020-03203 (NC)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence Q1632 (TX)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2020-03203 (NC)

Record details

NPI number1902167364
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2012
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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