KENNETH TRAVIS JOHNSON

PINEVILLE, LA
NPI1932182201
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  017148)
Enumeration Date2005-11-21
Last Update Date2017-04-03
Business Address
Dr. KENNETH TRAVIS JOHNSON M.D.
2812 HIGHWAY 28 E
PINEVILLE, LA 71360-5715
Phone number: 318-528-3355
Mailing Address
Dr. KENNETH TRAVIS JOHNSON M.D.
919 HIDDEN RDG
IRVING, TX 75038-3813
Phone number: 469-282-2711