| 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 |