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

Kathryn Lynn Johnson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134562309

Kathryn Lynn Johnson is an Obstetrics/Gynecology in Grand Rapids, Minnesota. Graduated from University of Minnesota Medical School in 2013, 13 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone: (218) 326-3401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 626-3111

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 61883 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134562309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 8, 2013
Last updated in NPPESJuly 21, 2022
Mailing address1601 Golf Course Rd, Grand Rapids, MN 55744-8648

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2013 (13 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids