NPI 1003107442

Koryn Amanda Johnston, DO

Practitioner Family Medicine Physician Wellsboro, PA

Practice location

Address: 110 Plaza Ln, Wellsboro, PA 16901-1773
Phone: (570) 724-4241
Fax: (570) 724-5510
Mailing address: 1 Guthrie Sq, Sayre, PA 18840-1625

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OS017260 (PA)

Other Family Medicine providers in Pennsylvania →

Registry record

NPI: 1003107442
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2011
Record last updated: 4 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.