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1932182201
KENNETH TRAVIS JOHNSON
PINEVILLE, LA
NPI
1932182201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 017148)
Enumeration Date
2005-11-21
Last Update Date
2017-04-03
Business Address
Dr. KENNETH TRAVIS JOHNSON M.D.
2812 HIGHWAY 28 E
PINEVILLE, LA 71360-5715
Phone number: 318-528-3355
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Mailing Address
Dr. KENNETH TRAVIS JOHNSON M.D.
919 HIDDEN RDG
IRVING, TX 75038-3813
Phone number: 469-282-2711
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