NPI | 1730311390 |
---|---|
Professional Name | KEVIN E. JOHNSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME124826) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 54419) |
Enumeration Date | 2009-08-17 |
Last Update Date | 2022-08-25 |