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

Kimberly Johnson

Individual provider Physician Assistant · NPI 1114100344

Kimberly Johnson is a Physician Assistant in State College, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

1850 E Park Ave Ste 103 Cema ER
State College, PA 16803-6706
Phone: (814) 231-7000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055075 (PA)

Record details

NPI number1114100344
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2007
Last updated in NPPESJune 15, 2021

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