Provider Demographics
NPI:1902945454
Name:JOHNSON, SARAH B (MD, MSC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:B
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:MD, MSC
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Mailing Address - Street 1:PO BOX 3367
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201-3367
Mailing Address - Country:US
Mailing Address - Phone:502-852-7596
Mailing Address - Fax:502-852-3751
Practice Address - Street 1:401 E CHESTNUT ST
Practice Address - Street 2:STE 610
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-588-4425
Practice Address - Fax:502-588-4427
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2015-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY440572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry