KEVIN JOHANSEN

TRUCKEE, CA
NPI1487235305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  200188)
Enumeration Date2021-04-21
Last Update Date2024-12-03
Business Address
KEVIN JOHANSEN MD
10121 PINE AVE
TRUCKEE, CA 96161-4856
Phone number: 775-284-9155
Mailing Address
KEVIN JOHANSEN MD
10121 PINE AVE
TRUCKEE, CA 96161-4835
Phone number:
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