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General NPI Number Information
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NPI Number | 1588980460
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Entity Type | Individual
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Provider Name | KRISTIN LANDHAM JOHNSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1 W LAKESHORE DR STE 100
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City | BIRMINGHAM
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State | AL
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Zip | 35209-7271
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Country | US
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Telephone | 205-930-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 2333 HUNTINGTON RIDGE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3205
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Country | US
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Telephone | 205-307-8076
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | AL
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