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

Malcolm A Johnston IV

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1952820912

Malcolm A Johnston IV is a Student in an Organized Health Care Education/Training Program in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

133 N River St
Wilkes Barre, PA 18711-0800
Phone: (570) 208-5900
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1952820912
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2017
Last updated in NPPESSeptember 11, 2017

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