Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kailey Roberson Johnson, PA-C

Individual provider Physician Assistant · NPI 1275204745

Kailey Roberson Johnson, PA-C is a Physician Assistant in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2508 Bert Kouns Industrial Loop Ste 310
Shreveport, LA 71118-3154
Phone: (318) 212-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 328816 (LA)

Record details

NPI number1275204745
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 24, 2021
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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