KEITH LELAND JOHNSON

ASHEVILLE, NC
NPI1205549250
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13546)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-01-04
Last Update Date2023-09-07
Business Address
KEITH LELAND JOHNSON
551 BREVARD RD
ASHEVILLE, NC 28806-2316
Phone number: 828-212-7021
Mailing Address
KEITH LELAND JOHNSON
PO BOX 749495
ATLANTA, GA 30374-9495
Phone number: 239-432-8331