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

Individual provider Medical Physician Assistant · NPI 1205911328

Kathryn Mandelbaum Johnson, PA-C is a Medical Physician Assistant in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
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

2575 Spruce St
Boulder, CO 80302-3806
Phone: (303) 449-3594
Fax: (303) 449-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3470 (CO)

Record details

NPI number1205911328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESOctober 8, 2012

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