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

Kenita K Johnson, PA-C

Individual provider Physician Assistant · NPI 1023140167

Kenita K Johnson, PA-C is a Physician Assistant in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2007
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

4101 Woolworth Ave
Omaha, NE 68105-1850
Phone: (402) 346-8800
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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 1279 (NE)

Record details

NPI number1023140167
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJuly 8, 2007

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