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

Mrs. Kimberly Ann Johnson, PA

Individual provider Physician Assistant · NPI 1720309362

Mrs. Kimberly Ann Johnson, PA is a Physician Assistant in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3601 W 13 Mile Rd Physician Extender
Royal Oak, MI 48073-6712
Phone: (248) 898-4021
Fax: (248) 898-1473
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005757 (MI)

Record details

NPI number1720309362
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 17, 2010
Last updated in NPPESAugust 16, 2011

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